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식도 및 기도이물의 통계적 고찰
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:
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
Among all cases, 171 cases were male(59.8%) and 114 cases were female (40.2%).
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.
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.
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.
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.
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.