Clinical Study of Unknown Cough in Children (Tracheobronchial Foreign Body, an Emergency) and review of literature

DR. R.BHANU MURTHY; DR. P.FAZULU RAHIMAN KHAN; DR. J.Veeresh Kumar

Volume : VI, Issue : III, March - 2016

Clinical Study of Unknown Cough in Children (Tracheobronchial Foreign Body, an Emergency) and review of literature

Dr. R. Bhanu Murthy, Dr. P. Fazulu Rahiman Khan, Dr. J. Veeresh Kumar

Abstract :

 Introduction: Foreign body aspiration remains a major cause of morbidity and mortality in children, without an early intervention. Clinical study of children admitted in the department of ENT KMC Kurnool with complaints of chronic cough and respiratory distress were Investigated with x–ray and CT scan. Cases found with no evidence of foreign body were planned Diagnostic Bronchoscopy with a suspicion of aspiration revealed variable foreign bodies in the onchus and lower airway. Management of FB aspiration in children requires emergency and multidisciplinary approach and its lifesaving. Material and methods: Clinical study of 10 cases of children with chronic cough and respiratory distress, cases referred from paediatric medical ward with infection not responding to antibiotics and in some cases with ATT treatment, and on referral to ENT department from Jan 2015 to July 2015 admitted, carefully evaluated with suspicion of Tracheoonchial foreign body aspiration, Planned for emergency rigid onchoscopy and recovered variable foreign bodies with optical telescopic forceps. Conclusion: Clinical study shown cases with unknown cough in children foreign body onchus is the common cause of respiratory distress. In our study male children were more affected than female, average age group is 2–4 years, variable foreign bodies removed are vegetable seeds, seethaphal and tamarind seed, ground nut, wardrobe pin, whistle, pen cap knob, some foreign bodies are hollow plastic tube, Vegetable type FBs are more problematic than nonorganic material because they usually absorb moisture and swell thus increasing obstruction of airway distally, Foreign body aspiration (FBA) is a common cause of respiratory emergency in young Children between age group of 2–4 years, inspite of negative and no evidence of FB on radiological findings, Diagnostic Bronchoscopy revealed successful removal of foreign body with dramatic clinical improvement . Diagnosis of FBA Retrieval from the airway involves coordinated teamwork and life saving, rewarding.