Case report of meningiomatosis with aspiration of a dental bridge improved by comprehensive rehabilitation therapy

Abstract

[Purpose] The aim of this study was to ascertain the effect of comprehensive rehabilitation therapy on a quadriplegic patient with meningiomatosis and severe dysphagia. [Subject and Methods] Meningiomatosis is defined as multiple meningiomas involved in several intracranial regions, which occurs more frequently in elderly patients. The prognosis of meningiomatosis is mostly reported as benign, but the prognosis for some malignant cases can be poor. Furthermore, dysphagia in elderly patients with brain lesions may lead to foreign body aspiration, which can be fatal. The removable type of dental prosthesis is a common cause of aspiration, but aspiration is rare with the fixed type. [Results] This report presents a rare case of bronchial aspiration involving a fixed dental prosthesis in an elderly meningiomatosis patient that was improved following comprehensive rehabilitation therapy. [Conclusion] Thorough evaluation and individualized assessment of rehabilitation goals is recommended for the care of severe comorbid elderly patients.

Endoscopic removal of accidental aspirated and ingested dental foreign bodies

“…As the population ages, the number of people with cerebral dysfunction, such as cerebrovascular disease and dementia, will increase. Elderly people with a history of these diseases have decreased cognitive function, decreased swallowing and cough reflexes, and delayed pharyngeal peristalsis, and are more likely to experience ingestion or aspiration of FBs [11–13] . Although many older adults wear dental prostheses, the presence or absence of subjective symptoms during withdrawal and the accuracy of handling may be inferior to that of younger people.…”

“…Elderly people with a history of these diseases have decreased cognitive function, decreased swallowing and cough reflexes, and delayed pharyngeal peristalsis, and are more likely to experience ingestion or aspiration of FBs. [11][12][13] Although many older adults wear dental prostheses, the presence or absence of subjective symptoms during withdrawal and the accuracy of handling may be inferior to that of younger people. Dental prostheses are often sharp and are associated with an increased risk of gastrointestinal complications.…”