Introduction: Foreign body (FB) aspiration is the act of accidentally inhaling a foreign body,rnusually materials, food or drink. It is the leading cause of death all parts of the world. Foreignrnbody (FB) aspirations in childhood are frequently emergency conditions especially in less than 3rnyears age, comprising an important proportion of accidental deaths one of the leading causes ofrndeath young children that almost 600 children under 15 years of age die per year in the USArnObjectives: This study aims to determine the patterns of foreign body aspiration among childrenrnatrnTikuerrnAnebsarnSpecializedrnHospitalrnPediatricrnMethods: All patients with FB aspiration treated at Tikuer AnebsarnEmergencyrnDepartment.rnspecialized hospital in therndepartment of pediatric emergency OPD over a period o f three year from January 2014 tornDecmber2016.were.retrospectively.reviewed.rnResult :-From the total 5412 surgery patients who visited the pediatric emergency department ofrnTASH during the study period,289 (5.3%) were foreign body aspiration patients. From seconderyrndata showed Out of the 289 cases 150 cards having complet information about pattern andrncomplication of FB. Among the participantsrn95 (63.3%)were males and 55 (36.7%) werernfemales, giving a male to female ratio of 1.7:1. The patientsâ€™ mean ages 59.05 months(5 years)rnwith the ranged of 6 months to 13 years. 41(27.3%) of the victims were between 12-36 monthsrn( 1-3years). The most common cause of foreign body aspiration is crops / seeds accountedrn54(36.0%) from these bean is common. Plastic and metallic materials high in frequency ofrnforeign body aspiration accounted 44(29.3%) & 28(18.7%) respectively.Almost all of thernpatients 149(99.3%) have sudden onset of cough, 84(56%) and 25(16.7%) of the patients havernsudden onset of difficulty in breathing and vomiting respectively. Most of the patients 71 (47.3%)rnhave high grade fever. 52(34.7%) and 43(28.7%) of cases have lodgment on the right mainrnvrnbronchusrnand trachea respectively. The average time of arrival to hospital is 17.6 days andrnranged from 1 hour to 360 days. The majority of patients 61(40.7%) arrived to hospitalrnafter aspiration is within 3-7 days. Only 21(14%) of patients arrived with in 24 hours. 68(46% )rnof FBA patients developed complications. From these 44(64.7%) were aspiration pneumonia.rn139(92.7%) of cases were managed with surgical procedure. Bronchoscopy was done for mostrnof the cases 140(93.3%) . The average length of stay was 7(6.7) daysrndays.vi ranged from 1 day to 61rnKeywords;-Foreign body aspiration, children, pattern, Ethiopia