Introduction
Foreign body ingestion is fairly common among the pediatric population;
as they tend to be very curious and have tendency to put objects in
mouth .1 These ingested foreign body in upper
aerodigestive tracts accounts for significant i.e. around 30 % of out-
of- hour referrals to ENT surgeons.2 Children of 5
years of age and younger are responsible for 75% of all FB ingestions3, and 20% of children 1 to 3 years of age are
reported to have ingested some kind of foreign body in their
life.4
Although many ingested items are relatively innocuous and pass
uneventfully through the entire gastrointestinal tract and eventually
through the feces, some FBs result in its impaction and can cause
grievous harm necessitating surgical intervention.5
It is crucial for the prompt diagnosis and early intervention of foreign
body of aerodigestive tract, to prevent morbidity (aerodigestive tract
stricture, esophageal perforation) and mortality.6
At times, direct laryngoscopy has been an option to remove objects
lodged at or above the cricopharyngx during induction thus avoiding the
need of hypopharyngoscopy further. Rigid or flexible endoscopy remains
the choice of intervention for removal of objects lodged below this area
and when laryngoscopy remains unsuccessful in removing objects lodged
above the cricopharynx.7