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Foreign Body AspirationAka: Pharyngeal Foreign Body, Laryngotracheal Foreign Body, Tracheobronchial Foreign Body, Otorhinolaryngeal Foreign Body, Airway Foreign Body, Choking, Choke Hazard

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  1. See Also
    1. Nasal Foreign Body
    2. Ear Canal Foreign Body
    3. Esophageal Foreign Body
  2. Epidemiology
    1. Ages affected
      1. Age under 3 years old: 50%
      2. Age under 10 years old: 95%
    2. Increased Incidence at holiday time
    3. Known object aspiration in less than 40% of cases
    4. Choking deaths related to toy use 68% of time
  3. Commonly aspirated objects (Choke Hazards)
    1. Latex Balloons (responsible for 29% of choking deaths)
    2. Marbles, Balls (responsible for 19% of choking deaths)
    3. Peanuts
    4. Popcorn
    5. Hot dogs
    6. Other foods
    7. Plastic or metal toy objects
  4. Symptoms and Signs (often asymptomatic)
    1. Cough
    2. Wheezing
    3. Choking
    4. Dysphagia
    5. Dysphonia
    6. Acute or chronic Pneumonia
    7. Onset
      1. Sudden respiratory noise
      2. Persistent Noisy Breathing
    8. Symptoms may vary by foreign body size
      1. Small objects may produce only a cough
      2. Larger objects may cause sonorous rhonchi
  5. Precautions
    1. All pharyngeal and airway foreign bodies are medical emergencies
    2. Emergently involve clinicians skilled in advanced airway management (e.g. ENT, anesthesia)
    3. Most throat foreign bodies require otolaryngology for Sedation and endoscopy
  6. Management
    1. See Foreign Body Airway Obstruction (Heimlich Maneuver)
    2. See Obstructed airway in Infants
  7. References
    1. Gautam (1994) J Accid Emerg Med 11:113
    2. Hughes (1996) Ann Otol Rhinol Laryngol 105:555
    3. Lemberg (1996) Ann Otol Rhinol Laryngol 105:267
    4. Rimell (1995) JAMA 274:1763

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