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