MANAGEMENT OF TRACHEO-BRONCHIAL FOREIGN BODIES IN CHILDREN

T.M. SISENDA, B.O. KHWA-OTSYULA, J.O. WAMBANI

Abstract


Objectives: To review alternative surgical and anaesthetic options in the management
of foreign bodies lodged in the tracheobronchial tree in children aged below 10 years.
Design: A five year retrospective secondary data analysis.
Setting: Three hospitals based in Eldoret Municipality, Kenya.
Main outcome measures: Outcome variables included morbidity and mortality.
Results: Of the thirty two children studied, 74.1% had bronchoscopy and 25.9%
thoracotomy. The overall mortality rate was 3.3%.
Conclusion: Foreign bodies in the tracheo-bronchial tree are a major cause of morbidity
and mortality in children aged below 10 years. In settings where appropriate equipment
is inadequate, timely thoracotomy may be life saving.

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