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Journal of Tropical Pediatrics 1985 31(3):170-173; doi:10.1093/tropej/31.3.170
© 1985 by Oxford University Press
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Foreign Body Airway Obstruction in Nigerian Children

Chijioke H. Anyanwu, FRCS(Eng), FRCS(Ed), FWACS

Cardiothoracic Unit, Department of Surgery, University of Nigeria Teaching Hospital Enugu, Nigeria

Address for correspondence and reprints: Dr. C. H. Anyanwu, FRCS, Cardiothoracic Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria

Inhalation of foreign bodies is a common cause of sudden death in young children. Experience with foreign body inhalation in children at the University of Nigeria Teaching Hospital, Enugu, is reviewed to assess the incidence and management of such cases in the Nigerian environment. Thirty-eight children aged 5 months to 16 years were seen over a period of 41/2 years; the peak age incidence was 9–18 months. Most of the children were brought to the hospital several days after the inhalation incident, and therefore showed evidence of bronchopneumonia. Foreign bodies of vegetable, animal or metallic origin were the most common; 63.2 per cent of them were lodged in the bronchi. Bronchoscopic removal was achieved in 33 children while 4 children had bronchotomy. Two children (5.3 per cent) died. Appropriate endoscopic equipment and experience are essential for the management of these children. Moreover, inhaled foreign body should be considered as a cause of persisting bronchopneumonia in children.


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[Abstract] [PDF]


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