1. Foreign Body Aspiration(FBA): A Review of Paediatric patients at the Tamale Teaching Hospital (TTH), Tamale, Ghana. MKF 2016

2. OUTLINE
INTRODUCTION AIM OF STUDY MATERIALS AND METHODS RESULTS CONCLUSION ACKNOWLEDGEMENT

3. INTRODUCTION
FBA is one common ENT emergencies encountered at the ENT Unit, TTH. Usually associated with significant morbidity and mortality Requires a high index of suspicion for diagnosis and prompt management

4. Peak incidence of occurrence is 0-3 years Male to female ; 2:1 Common foreign bodies; peanuts (groundnuts), seeds, plastic objects and metallic objects In children FBs lodge with equal frequency in the RMB or LMB, with no clear explanation for this occurrence

5. TTH is the third largest Teaching hospital, serves the three Northern regions
ENT Unit received referrals;
Peripheral/District hospitals
Accident and Emergency Unit
Paediatric Emergency Unit
Prior to 2007 cases of FBA were referred to KBTH for management

6. In Accra , (Prof Kitcher 2009), reported 40 cases in his study Peak incidence 0-4years Common FB ; fishbone (6), seeds, groundnuts , plastic and metallic objects (5 each) 27 lodged in RMB, 10 LMB , 3 in the Larynx One patient had bronchotomy due to failed bronchoscopy

7. In Kumasi (Awuah et al 2012), reported 21 cases in their study Fishbone and scales ( 9), vegetable seeds (6) and button (5) were most common FBs 15 lodged in the larynx and remaining 6 in tracheobronchial tree

8. AIM OF STUDY
To assess the pattern of paediatric foreign body aspiration at the ENT Unit, Tamale Teaching Hospital, Tamale, Ghana.

9. MATERIALS AND METHODS
Retrospective study of paediatric cases of FBA Jan 2010 to June 2016 ENT Unit, TTH Data retrieved from Theatre record book and theatre e-database

10. Age, sex, indication for bronchoscopy, nature of foreign body, location of foreign body and outcomes were evaluated 31 cases of FBA were retrieved but 8 excluded due to incomplete operation records. 23 of the cases were included in the final analysis

11. Data extracted unto MS excel 2010 sheet Exported to SPSS version 20 for descriptive analysis Ethical approval is being sort from IRB

12. RESULTS

13. AGE AGE RANGE(YRS) FREQUENCY PERCENTAGE (%) 0-3 17 74 4-6 3 13 7-10
TOTAL 23
100

14. SEX SEX FREQUENCY PERCENTAGE (%) FEMALE 13 56.5 MALE 10 43.5 TOTAL 23
100

15. NATURE OF FOREIGN BODY FB FREQUENCY PERCENTAGE (%) GROUNDNUT 10 43.5
FISHBONE 2
8.7
SPRING COIL
PLASTIC PEN CAP
CARTILAGE 1
4.3
EBONY SEED
GAYA SEED
HAIR CLIP
MAIZE
METALLIC OBJECT
STONE
TOTAL 23
100

16. LOCATION OF FOREIGN BODY
FREQUENCY
PERCENTAGE (%)
LEFT MAIN BRONCHUS 7
30.4
TRACHEA
RIGHT MAIN BRONCHUS 6
26.1
CARINA 2
8.7
LARYNX 1
4.3
TOTAL 23
100

17. OUTCOME OF RIGID BRONCHOSCOPY
NUMBER
PERCENTAGE
SUCCESSFUL BRONCHOSCOPY 22
95.7
FAILED BRONCHOSCOPY 1
4.3
TOTAL 23
100

18. CONCLUSION
Foreign body aspiration were more common in the female patients with a peak age occurrence in the zero to three year age group. Groundnuts were the most commonly aspirated foreign bodies with majority localized to the right main bronchus and the trachea

19. RECOMMENDATIONS
Education of parents and caregivers E-storage of data.

20. ACKNOWLEDGEMENT
Dr. James Patrick Murphy Dr Michael Damah Theatre Staff of ENT unit

21. THANK YOU FOR YOUR ATTENTION