الفهرس 
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Abstract
Aspiration of foreign bodies occurs frequently in children; 75% of cases occur in children younger than 3 years of age. However, FB aspiration does occur in adults and elderly people as well, although the incidence is not known.
Bronchoaspiration of a foreign body can manifest with various symptoms. The most frequent is choking with cough, dyspnea, and cyanosis at the time of aspiration.
The inhaled foreign body can get impacted at any site from the laryngeal inlet to the terminal bronchioles. The location of foreign body in the right or left bronchial tree depends on patient’s age and physical position at the time of inhalation.
Inhaled foreign bodies can be removed by rigid or flexible bronchoscope. However, rigid bronchoscopy offer good visualization and is the preferred method for foreign body removal. We in our patients used mainly the rigid bronchoscope.
It seems reasonable that in every case of inhaled foreign body which cannot be removed through bronchoscopy, the surgical procedure should be bronchotomy whenever possible. This must be done as soon as possible in order to avoid more advanced pathological changes in the involved lung tissue, such as bronchiectasis, fibrosis or abscess. In these cases, excision of the affected lung tissue is unavoidable.
This study included seventy eight patients who presented to the Cardiothoracic Surgery Department in Alexandria University Hospital with foreign body aspiration.
The patients were properly evaluated and managed with different modalities to extract the tracheobronchial foreign body.
The aim of this study was to analyze and evaluate different modalities in management of foreign body aspiration. Also, to highlight the incidence, risk factors, circumstances of aspiration, clinical and radiological diagnosis of foreign body aspiration.
Radiopaque inorganic FB aspiration was found to be the most frequently encountered, especially pin aspiration occurring in females.
Rigid bronchoscopic forceps extraction was the most common modality of treatment used with low incidence of complications and a single mortality.