Y. Sidibé, Djibril Samaké, Abraham Diarra, Idrissa Konaté, B. Sanogo, Abdoul Traoré, K. Diarra, A. Coulibaly, Kadidiatou Singaré, Mohamed Keita
{"title":"喉-气管-支气管异物:卢森堡母婴大学医院十年活动评估","authors":"Y. Sidibé, Djibril Samaké, Abraham Diarra, Idrissa Konaté, B. Sanogo, Abdoul Traoré, K. Diarra, A. Coulibaly, Kadidiatou Singaré, Mohamed Keita","doi":"10.11648/j.ijo.20241001.16","DOIUrl":null,"url":null,"abstract":"<i>Aim</i>: Study the epidemiological, clinical and therapeutic aspects of laryngo-tracheo-bronchial foreign bodies. <i>Materials and method</i>: 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. <i>Results</i>: 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. <i>Conclusion</i>: 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.\n","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":" 2","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital\",\"authors\":\"Y. Sidibé, Djibril Samaké, Abraham Diarra, Idrissa Konaté, B. Sanogo, Abdoul Traoré, K. Diarra, A. Coulibaly, Kadidiatou Singaré, Mohamed Keita\",\"doi\":\"10.11648/j.ijo.20241001.16\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<i>Aim</i>: Study the epidemiological, clinical and therapeutic aspects of laryngo-tracheo-bronchial foreign bodies. <i>Materials and method</i>: 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. <i>Results</i>: 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. <i>Conclusion</i>: 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.\\n\",\"PeriodicalId\":91095,\"journal\":{\"name\":\"International journal of otorhinolaryngology\",\"volume\":\" 2\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-05-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of otorhinolaryngology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11648/j.ijo.20241001.16\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of otorhinolaryngology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11648/j.ijo.20241001.16","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital
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.