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Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 1993; 4(2):370-378

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1993.4.2.370

원저

식도 및 기도이물의 통계적 고찰

안재신1, 원유성1, 김형주1, 이흥엽1, 성영순1, 서병도1
A Clinical Study of Foreign Bodies in the Food and Air Passages : 12-Year Review of 285 Cases
Jae-Sin Ahn1, Yu-Sung Won1, Hyoung-Joo Kim1, Heung-Youp Lee1, Young-Soon Seong1, Byung-Do Suh1
1가톨릭대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, Catholic University Medical College

© Copyright 1993 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

The retrospective analysis of 285 cases with diagnoses of foreign bodies in the food and air passages that were managed at the Department of Otolaryngology, Kangnam St.Mary’s Hospital from Nov. 1980 to Oct. 1992 is reported with periodic analysis divided into 3 groups of 4 years.

The results were as follows:

  1. Among 285 cases, 254 cases(89.2%) had foreign bodies which were lodged in the esophagus and 31 cases (10.8%) in the air passage. The ratio between the foreign bodies in the food passage and the air passage was about 8.2 : 1

  2. Among all cases, 171 cases were male(59.8%) and 114 cases were female (40.2%).

  3. The group under 5 years old having foreign bodies was over half of all cases(56.5%), and the group over 51 years old was 15.5% of all cases.

  4. The incidence of foreign bodies in order of frequency was coin(35.6%)，fish bone(21.8%) and chicken bone(7.9%) in the food passage. Bean and peanut were the most common foreign bodies in the air passage.

  5. In the location of foreign bodies of the food passage, 208 cases(82.2%) were found in the first esophageal narrowing. In the air passage, the frequent sites of lodgement were the bronchus, trachea and larynx in order.

  6. The 67.0% of all cases was removed within 24 hours. The duration of lodgement showed differences in relation with varieties of the foreign bodies.

  7. Among three periods, there was no difference of the kinds and the location in esophago-bronchial foreign bodies. But the incidence of esophageal foreign bodies decreased and the duration of lodgement of esophago-bronchial foreign bodies increased.

Keywords: Foreign body; Esophagus; Air passage; Periodic Analysis