AN ANALYTICAL STUDY OF IMPACTED FOREIGN BODIES IN THORAX

Dr. Marwin Manoah Baylis, Dr. E. Kandasamy Alias Kumar

Abstract


AIM OF THE STUDY: To analyse various types of impacted foreign bodies that occurs in thoracic surgical practice and surgical modalities opted
in management of them in various parts of thorax.
MATERIALS AND METHODS: Venue: Department of cardiothoracic surgery ,Government Rajaji hospital and Madurai Medical college,
Madurai .Study Period: August 2004 to April 2007.
STUDY POPULATION: 20 patients who were operated for impacted foreign bodies in thorax. All patients underwent routine screening by chest
x-Ray and C.T. chest / MRI when ever needed. Failure of Trial attempt of removal by oesophagoscopy / bronchoscopy by other specialists landed
the patient for surgical exploration by thoracic surgeons. Removal of radio opaque F.B's were done with on table x-ray guidance / c-arm. Removal
of radiolucent F.B's were done by surgical exploration
RESULTS: Total number of cases 20 . M:F ratio 12 : 8. Incidence was more common among young (0-30 years), 85% are Radio opaque foreign
bodies & 15% are Radiolucent
CONCLUSION: Non vegetable foreign bodies tend to get impacted commonly which needs active surgical intervention .Cervical Oesophagus
Oblique incision along the left sternomastoid muscle & exposure of oesophagus done in visceral space of neck. - Right Thoracotomy Prone
position of patient & left / right posterolateral thoracotomy as indicated. Cardio- pulmonary Bye pass instituted to arrest the heart & remove foreign
body. Earlier reporting of patients with earliest intervention combined with meticulous post operative care will result in low morbidity and minimal
mortality.


Keywords


Impacted Foreign body thorax , Thoracotomy

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References


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