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

Received: 22 April 2024    Accepted: 6 May 2024    Published: 17 May 2024
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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.

Published in International Journal of Otorhinolaryngology (Volume 10, Issue 1)
DOI 10.11648/j.ijo.20241001.16
Page(s) 28-33
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Foreign Bodies, Larynx, Bronchi, Child, Mali

References
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[2] Randrianirina HH, Randrianandraina MP, Rasamimanana NG, Tohaina DV, Rajaonera AT, Raveloson NE. Difficultés et incidents d’une extraction d’un corps étranger laryngo-tracheo-bronchique [Difficulties and incidents of extracting a laryngo-tracheo-bronchial foreign body]. Rev. Malg. Ped. 2020; 3(2): 5-9.
[3] Bekoin Abhé C M, Olama M C, Mobio M P, Ouattara A, Coulibaly T K, Tetchi Y. Corps étrangers laryngo-trachéo-bronchiques de l’enfant: à propos de 62 cas au bloc opératoire du Centre Hospitalo-Universitaire de Cocody à Abidjan, Côte-d’Ivoire [Laryngo-tracheo-bronchial foreign bodies in children: about 62 cases in the operating room of the Cocody University Hospital Center in Abidjan, Ivory Coast]. Ann. Afr. Med. 2020; 14(1): e3984-e89.
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[5] Timbo S K, Keita M A, Yena S, Konipo Togola F, Traoré L, Ag Mohamed A. Migration transversale de corps étrangers: un cas d’hameçon ingéré [Transverse migration of foreign bodies: a case of ingested hook]. Médecine d’Afrique Noire 2009; 56(2): 73-76.
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[9] Ag Mohamed A, Keita M, Timbo S K, Sacko H B, Konipo Togola F. L’endoscopie dans un service ORL sub-saharien: cas du Mali. Notre expérience sur 10 ans, à propos de 374 cas [Endoscopy in a sub-Saharan ENT department: case of Mali. Our experience over 10 years, about 374 cases]. Médecine d’Afrique Noire 2001; 48(2): 78-81.
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[11] Hamouda F, Ben Silmene D, Bourguiba M, Mahouachi R, Drira I, Chtourou A, Smaoui N, Kilani T, Ben Kheder A. Corps étrangers trachéo-bronchiques de l’enfant: aspects diagnostiques et thérapeutiques [Tracheobronchial foreign bodies in children: diagnostic and therapeutic aspects]. Tunisie med. 2004; 82(09): 817-26.
[12] Ag Mohamed A, Keita M, Timbo S K et al. Les corps étrangers de l’œsophage et des voies respiratoires inférieures [Foreign bodies in the esophagus and lower respiratory tract]. Mali médical 2002; 17(3/4): 61-63.
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[14] Lescanne E, Soin C, Lesage V, Mercier C, Ployet M J. Corps étrangers laryngo-tracheo-bronchiques [Laryngo-tracheo-bronchial foreign bodies]. Encyclopédie Médico- Chirurgicale (Elsevier, Paris) ORL. 1997; 20-730-A-10: 10p.
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[16] Adaletli I, Kurugoglu S, Ulus S, Ozer H, Elicevik M, Kantarci F, Mihmanli I, Akman C. Utilization of low-dose multidetector CT and virtual bronchoscopy in children with suspected foreign body aspiration. Pediatr Radiol 2007; 37: 33.
[17] Kacouchia N, N’gattia K V, Kouassi M, Yoda M, Buraima F, Tanon-Anoh M-J, Kouassi B. Corps étrangers des voies aéro-digestives chez l’enfant [Foreign bodies in the aero-digestive tract in children]. Rev. Col. Odonto-stomatol. Afr. Chir. Maxillo-fac. 2006; 13(3): 35-39.
[18] Fidkowski CW, Zheng H, Firth PG. considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases. Anesth Analg. 2010; 111(4): 1016-25.
[19] Ag Mohamed A, Timbo S K, Konipo Togola F, Soumaré S, Diallo A K et al. Bronchotomie gauche pour corps étrangers [Left bronchotomy for foreign bodies]. Les cahiers d’ORL 2002; 37(5/6): 272-75.
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    Sidibé, Y., Samaké, D., Diarra, A., Konaté, I., Sanogo, B., et al. (2024). Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital. International Journal of Otorhinolaryngology, 10(1), 28-33. https://doi.org/10.11648/j.ijo.20241001.16

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    ACS Style

    Sidibé, Y.; Samaké, D.; Diarra, A.; Konaté, I.; Sanogo, B., et al. Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital. Int. J. Otorhinolaryngol. 2024, 10(1), 28-33. doi: 10.11648/j.ijo.20241001.16

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    AMA Style

    Sidibé Y, Samaké D, Diarra A, Konaté I, Sanogo B, et al. Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital. Int J Otorhinolaryngol. 2024;10(1):28-33. doi: 10.11648/j.ijo.20241001.16

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  • @article{10.11648/j.ijo.20241001.16,
      author = {Youssouf Sidibé and Djibril Samaké and Abraham Diarra and Idrissa Konaté and Boubacar Sanogo and Abdoul Moumine Traoré and Kassim Diarra and Amady Coulibaly and Kadidia Singaré and Mohamed Amadou Keita},
      title = {Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital
    },
      journal = {International Journal of Otorhinolaryngology},
      volume = {10},
      number = {1},
      pages = {28-33},
      doi = {10.11648/j.ijo.20241001.16},
      url = {https://doi.org/10.11648/j.ijo.20241001.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20241001.16},
      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.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital
    
    AU  - Youssouf Sidibé
    AU  - Djibril Samaké
    AU  - Abraham Diarra
    AU  - Idrissa Konaté
    AU  - Boubacar Sanogo
    AU  - Abdoul Moumine Traoré
    AU  - Kassim Diarra
    AU  - Amady Coulibaly
    AU  - Kadidia Singaré
    AU  - Mohamed Amadou Keita
    Y1  - 2024/05/17
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijo.20241001.16
    DO  - 10.11648/j.ijo.20241001.16
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 28
    EP  - 33
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20241001.16
    AB  - 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.
    
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Department of ENT and Head and Neck Surgery, Mother-Child University Hospital “Le Luxembourg”, Bamako, Mali

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

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

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

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

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

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

  • Department of Stomatology and Maxillofacial Surgery

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

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

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