Surjeet Singh, Hemant Sharma
BACKGROUND Foreign body in the food passage is a common problem; but piercing foreign bodies in the food passage may cause fatal complications like retropharyngeal abscess, pneumothorax, ulcerative oesophagitis, pneumonitis and stricture formation. METHODS The present study is a retrospective analysis including 40 patients of foreign bodies in food passage in a tribal region of Chhattisgarh who presented to the Department of E.N.T., Lt. B.R.K.M. Medical College and associated hospital Jagdalpur (C.G.). Data was collected and analysis was done on the basis of age and sex distribution, type, location, duration, clinical presentation, radiological findings, management and complications. RESULTS About 40 patients had evidence of foreign body in food passage with age ranging from 3 months to 70 years. The most common presentation was dysphagia i.e. in 21 (52.5%) patients, followed by pain in throat. Maximum number of patients i.e. 15 (37.5%) belonged to 0-10-year age group. Radiological evidence was found in 32 (80%) patients. Maximum cases showed chicken bone as foreign body followed by coin. The crico-pharynx (57.5%) was the commonest site of lodgement. CONCLUSIONS Early detection by meticulous history, imaging modalities and prompt management remains the basis for favourable outcome and prevents any future complications.
