Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital-Reference-Cited by-同舟云学术

Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital

Published:2024-05-17 Issue:1 Volume:10 Page:28-33
ISSN:2472-2413
Container-title:International Journal of Otorhinolaryngology
language:en
Short-container-title:IJO

Author:

Sidibé Youssouf¹,Samaké Djibril²^ORCID,Diarra Abraham³,Konaté Idrissa⁴,Sanogo Boubacar⁴,Traoré Abdoul⁴,Diarra Kassim⁴,Coulibaly Amady⁵,Singaré Kadidia⁴,Keita Mohamed⁴

Affiliation:

1. Department of ENT and Head and Neck Surgery, Mother-Child University Hospital “Le Luxembourg”, Bamako, Mali

2. ENT and Head and Neck Surgery Unit, Joint Reference Health Center V in Bamako, Bamako, Mali

3. ENT and Head and Neck Surgery Unit, Mali-Gavardo Hospital, Bamako, Mali

4. Department of ENT and Head and Neck Surgery, University Hospital Gabriel Touré, Bamako, Mali

5. Department of Stomatology and Maxillofacial Surgery

Abstract

Aim: Study the epidemiological, clinical and therapeutic aspects of laryngo-tracheo-bronchial foreign bodies. Materials and method: This was a retrospective cross-sectional study which focused on 41 cases of laryngo-tracheo-bronchial foreign bodies collected at the Mother-Child University Hospital Center “Le Luxembourg”, from March 31, 2013 to March 31, 2023. Results: Forty-one cases of laryngo-tracheobronchial foreign bodies were collected. The male gender represented 65.9%. Children under 2 years old accounted for 56.1%. The reasons for consultation were dyspnea in 73.2% and cough in 26.8%. The consultation time was 51.2% in the first 48 hours with extremes of 6 hours to 11 months. The history revealed a penetration syndrome in 78% of cases. The complementary examination of first resort was the front and lateral chest radiography. He did not visualize a foreign body in 75.6% of cases. Endoscopy was performed in all cases except for one case who died during transfer to the emergency room. The location was the right main bronchus in 63.4% of cases. The foreign bodies were organic in nature in 70.7% and 21 cases of peanut seed was found (51.21%). The postoperative course was simple in all cases under antibiotic-corticotherapy treatment. Conclusion: Laryngo-tracheo-bronchial foreign bodies predominate in young children. The most suggestive sign is penetration syndrome. The extraction must take place in the best conditions with a team experienced in this exercise.

Publisher

Science Publishing Group

Link

https://article.sciencepublishinggroup.com/pdf/j.ijo.20241001.16

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