The effect of psychological status of patient on the incidence of aerodigestive Tract foreign body and role of it’s determinents in definitive treatment

Foreign body ingestion is a frequent occurrence in children, especially in their first six years of life
with a peak in children older than 3 years. There are various causes for aero-digestive tract foreign
bodies can be pointed out, including children’s behavior, anatomical characteristics, physiological
features such as immature swallowing, incoordination, improper development of chewing capacity
and higher respiratory rates.In adults, foreign body aspiration is caused mostly by the failure of
airway protective mechanisms such as alcoholic intoxication, poor dentition, sedative or hypnotic
drug use, senility, neurological disorders with impairment of swallowing, mental retardation, trauma
with loss of consciousness, seizure disorders and general anesthesia. Psychological status is one of
the common factors in case of aero-digestive tract foreign bodies which can be assessed using age
appropriate psychological tools i.e. Vineland Social Maturity Scale. (VSMS) and Modified
Kuppuswamy Scale (MKS). In our study foreign body aero digestive tract was significantly higher in
upper lower (or=8.87, 95%ci=1.23-63.87, p=0.03) and lower class (or=34.00, 95%ci=2.51-459.44,
p=0.008) compared with upper class. The confirmation of disease was significantly higher in
profound grade of mental retardation than normal patients (or=5.82, 95%ci=1.11-30.41, p=0.03). In
this study it was found that aero digestive tract foreign body is strongly associated with the
intelligence of patient.