Abstract
Foreign body aspiration is one of the leading causes of accidental death in children. Food items are the most common items aspirated in infants and toddlers, whereas older children are more likely to aspirate non-food items. Laryngeal impaction of a foreign body is very rare as most aspirated foreign bodies pass through the laryngeal inlet and get lodged lower down in the airway. Two rare cases of foreign body aspiration with subglottic impaction in very young children (under 2 years of age) are described. In both the cases subglottic impaction occurred consequent to attempted removal of foreign body by blind finger sweeping. The clinical presentation, investigations, and management of these rare cases are discussed.
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- Banerjee A., Rao K. S., Khanna S. K., Narayanan P. S., Gupta B. K., Sekar J. C., Retnam C. R., Nachiappan M. Laryngo-tracheo-bronchial foreign bodies in children. J Laryngol Otol. 1988 Nov;102(11):1029–1032. doi: 10.1017/s0022215100107170. [DOI] [PubMed] [Google Scholar]
- Brama I., Fearon B. Laryngeal foreign bodies in children. Int J Pediatr Otorhinolaryngol. 1982 Aug;4(3):259–265. doi: 10.1016/0165-5876(82)90008-8. [DOI] [PubMed] [Google Scholar]
- Cohen S. R., Herbert W. I., Lewis G. B., Jr, Geller K. A. Foreign bodies in the airway. Five-year retrospective study with special reference to management. Ann Otol Rhinol Laryngol. 1980 Sep-Oct;89(5 Pt 1):437–442. doi: 10.1177/000348948008900513. [DOI] [PubMed] [Google Scholar]
- Esclamado R. M., Richardson M. A. Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies. Am J Dis Child. 1987 Mar;141(3):259–262. doi: 10.1001/archpedi.1987.04460030037019. [DOI] [PubMed] [Google Scholar]
- Halvorson D. J., Merritt R. M., Mann C., Porubsky E. S. Management of subglottic foreign bodies. Ann Otol Rhinol Laryngol. 1996 Jul;105(7):541–544. doi: 10.1177/000348949610500709. [DOI] [PubMed] [Google Scholar]
- Harris C. S., Baker S. P., Smith G. A., Harris R. M. Childhood asphyxiation by food. A national analysis and overview. JAMA. 1984 May 4;251(17):2231–2235. [PubMed] [Google Scholar]
- Heimlich H. J. A life-saving maneuver to prevent food-choking. JAMA. 1975 Oct 27;234(4):398–401. [PubMed] [Google Scholar]
- Kent S. E., Watson M. G. Laryngeal foreign bodies. J Laryngol Otol. 1990 Feb;104(2):131–133. doi: 10.1017/s0022215100112058. [DOI] [PubMed] [Google Scholar]
- Kim I. G., Brummitt W. M., Humphry A., Siomra S. W., Wallace W. B. Foreign body in the airway: a review of 202 cases. Laryngoscope. 1973 Mar;83(3):347–354. doi: 10.1288/00005537-197303000-00004. [DOI] [PubMed] [Google Scholar]
- McGuirt W. F., Holmes K. D., Feehs R., Browne J. D. Tracheobronchial foreign bodies. Laryngoscope. 1988 Jun;98(6 Pt 1):615–618. doi: 10.1288/00005537-198806000-00007. [DOI] [PubMed] [Google Scholar]
- Moskowitz D., Gardiner L. J., Sasaki C. T. Foreign-body aspiration. Potential misdiagnosis. Arch Otolaryngol. 1982 Dec;108(12):806–807. doi: 10.1001/archotol.1982.00790600050012. [DOI] [PubMed] [Google Scholar]
- Mu L., He P., Sun D. Inhalation of foreign bodies in Chinese children: a review of 400 cases. Laryngoscope. 1991 Jun;101(6 Pt 1):657–660. doi: 10.1288/00005537-199106000-00014. [DOI] [PubMed] [Google Scholar]
- Rothmann B. F., Boeckman C. R. Foreign bodies in the larynx and tracheobronchial tree in children. A review of 225 cases. Ann Otol Rhinol Laryngol. 1980 Sep-Oct;89(5 Pt 1):434–436. doi: 10.1177/000348948008900512. [DOI] [PubMed] [Google Scholar]
- Svensson G. Foreign bodies in the tracheobronchial tree. Special references to experience in 97 children. Int J Pediatr Otorhinolaryngol. 1985 Mar;8(3):243–251. doi: 10.1016/s0165-5876(85)80085-9. [DOI] [PubMed] [Google Scholar]


