Bronchoscopie au tube rigide pour extraction des corps etrangers tracheo-bronchiques chez l’enfant au service d’orl et ccf de l’hopital national de niamey

Purpose: To take stock of the realization of bronchoscopy with a rigid tube for extraction of tracheobronchial foreign bodies in children, and to take up the difficulties. Materials and Methods: This was a prospective study, over a period of 2 years (January 20- December 31, 2016), and performed at the ENT and CCF department of the Niamey National Hospital. It included bronchoscopy with a rigid tube under general anesthesia; performed on children for tracheobronchial foreign body extraction. The parameters studied are epidemiological, per and postoperative. Results: In 2 years, 19 rigid tube bronchoscopy were performed. There were 6 girls (31.58%) and 13 boys (68.42%). The average age was 4.2 years old. Foreign bodies were of bronchial localization in 78, 94% (n = 15) and tracheal in 21.06% (n = 4). Of the 19 bronchoscopy, the extraction of the foreign body was successful in one session in 15 cases (73.69%), 5 cases (26.31%) required recovery 48 hours later, for cardiac arrhythmias (n = 2) and desaturation (n = 3). 2 cases of difficulty of identification and 3 cases of difficult grasping of foreign bodies were noted. The postoperative course was simple in 84.21% (n = 16). 1 case of cervico-facial emphysema was noted immediately postoperatively, 2 deaths were recorded. Conclusion: In Niger, the gold standard for the extraction of tracheobronchial foreign bodies in children remains rigid bronchoscopy under general anesthesia. The operative sequences were simple in majority.