Pulmonary aspiration of a two‐unit bridge during a deep sleep

Başoğlu, Özen K.; Buduneli, Nurcan; Çağırıcı, Ufuk; Turhan, Kutsal; Aysan, Tülin

doi:10.1111/j.1365-2842.2005.01472.x

Cited by 23 publications

(25 citation statements)

References 4 publications

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“…Carluccio and Romeo have reported that lower lobe of the right lung is the most frequent aspiration place followed by lower lobe of the left lung [11]. In the case reported by Başoglu and friends, the aspirated dental prosthesis is placed in the right main bronchus [12]. However, as in this case report, foreign bodies may enter the left main-stem bronchus and could have been reported in all airway locations.…”

Section: Discussionmentioning

confidence: 79%

Tracheobronchial Foreign Body Aspiration: Dental Prosthesis

Köse

Kostak

Aramagan

et al. 2014

Case Reports in Pulmonology

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It is important to extract foreign bodies for avoiding life-threatening complications. They can lead to death if they are not treated. Different signs and symptoms could occur according to the complete or partial airway obstruction. Foreign body aspiration is a rare incident in adults. The organic foreign materials such as foods are found to be aspirated more commonly and are usually settled in the right bronchial system. However, dental prosthesis and teeth aspirations are rare in literature. In our study, a 52-year-old male patient who had aspirated the front part of his lower dental prosthesis accidentally is presented and the foreign body is extracted by using rigid bronchoscopy. There are many causes of aspiration but dental prosthetic aspirations should be kept in mind during sleep. For this reason, dental apparatus must be taken out while asleep.

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Section: Discussionmentioning

confidence: 79%

Tracheobronchial Foreign Body Aspiration: Dental Prosthesis

Köse

Kostak

Aramagan

et al. 2014

Case Reports in Pulmonology

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“…Aspiration of dental restorations or teeth themselves is most likely to occur in relation with dental treatment, ethanol intoxication or maxillofacial trauma [10]. Conversely, dislodgement of dentures might be attributed to loose dentures, as in the current case.…”

Section: Discussionmentioning

confidence: 97%

“…Furthermore, the ability to visualize movement of the larynx in relation to the foreign body with a videolaryngoscope would make these techniques more useful than those using a fiberoptic bronchoscope for tracheal intubation. Again, this technique would be advantageous over the intubation using rigid bronchoscopy because of being less burdened to the patient in awake condition [10]. After the induction of general anesthesia, we could safely remove the dentures by detaching the piercing clasp from the mucosa.…”

Section: Discussionmentioning

confidence: 99%

Dislocated dental bridge covering the larynx: usefulness of tracheal tube guides under video-assisted laryngoscopy for induction of general anesthesia, thus avoiding tracheostomy

et al. 2014

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BackgroundTo describe a case with dislodgement of dental bridge with clasps covering the vocal cords, in a patient who was successfully intubated using tube exchanger under video-assisted laryngoscopy.Study design, methodsClinical case record with a video clip.SettingUniversity hospital.Case presentationA 83-year-old woman presented with dislodgement of her dental bridge whilst eating. Laryngoscopy revealed a foreign body almost entirely covering the vocal cords, with the clasps of the dislodged partial denture piercing the pharyngeal wall. Before induction of general anesthesia, a tracheal tube introducer combined with video-assisted laryngoscopy was introduced into the trachea in the awake condition, followed by successful endotracheal intubation. Thereafter, the dislodged denture was extracted via the oral cavity.ConclusionsTracheal tube introducers combined with video-assisted laryngoscopy appear to be useful for airway management, decreasing the number of avoidable tracheostomies performed.

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“…In adults, aspiration of teeth and dental restorations is a recognized, yet an infrequent happening in the literature (2). Main reasons for aspiration are maxillofacial trauma, dental treatment procedures, ethanol intoxication, impaired cough reflex, intubation procedures during resuscitation, and dementia (3,4). Antipsychotics, anticholinergics and anxiolytics can also impair the cough reflex (4).…”

mentioning

confidence: 99%

Aspiration of a dental bridge: a diagnostic challenge

Avramovski¹,

Avramovska²,

Sotiroski³

et al. 2016

Respir Case Rep

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Although accidental aspiration of metal ceramic bridge is not uncommon, the number of cases reported in the literature is limited. Airway foreign bodies can become lodged in the larynx, trachea, and bronchus. The earliest symptoms which commonly appear during aspiration include coughing, chocking, and wheezing including long-term complications, such as lung abscess and pneumonia. A 73-year-old Macedonian female due to acute onset of incessant cough, dyspnea and an inspiratory and expiratory wheeze was admitted to our emergency department. Auscultation findings showed right-sided weakened vesicular breathing, closely mimicking an acute asthma exacerbation. Based on chest X-ray findings, the radiologist described a metallic foreign body (MFB) in the right bronchus. Using a computed tomographic (CT) scan, we confirmed 4-unit crown MFB position in the right lower lobe bronchus. Rapidly and timely intervention by bronchoscopy saved the patients from extensive reconstructive surgery. Key words: Foreign body aspiration, metal ceramic bridge, radiography, bronchoscopy.Metal-seramik diş köprüsünün kazara aspirasyonu çok seyrek olmamasına rağmen, literatürde bildirilen olgu sayısı sınırlıdır. Hava yoluna kaçan yabancı cisimler, larinks, trakea ve bronşlara yerleşmektedir-ler. Aspirasyon sırasında rastlanan en erken semptomlar, boğucu öksürük ve hırıltı iken, geç dönem komplikasyonları ise apse ve pnömoni olmaktadır. Yetmiş üç yaşında Makedon bayan hasta, akut ve sürekli bir öksürük, nefes darlığı ve hem inspiratuvar hem de ekspiratuvarda duyulan hırıltı yakınmaları ile acil servisimize başvurdu. Oskültasyonda, akut asım atağını taklit eden şekilde, sağda solunum seslerinde azalma saptandı. Radyolog, akciğer grafisinde sağ bronş sisteminde metalik bir yabancı cisim olduğunu belirledi. Tomografide, dörtlü yapıda metalik bir cismin sağ alt lob bronşunda olduğu görüldü. Hızlı ve uygun zaman içerisinde yapılan bronkoskopik müda-hale ile hasta ciddi bir cerrahi girişimden kurtarılmış oldu.Anahtar Sözcükler: Yabancı cisim aspirasyonu, metal seramik köprü, radyoloji, bronkoskopi.

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Pulmonary aspiration of a two‐unit bridge during a deep sleep

Cited by 23 publications

References 4 publications

Tracheobronchial Foreign Body Aspiration: Dental Prosthesis

Tracheobronchial Foreign Body Aspiration: Dental Prosthesis

Dislocated dental bridge covering the larynx: usefulness of tracheal tube guides under video-assisted laryngoscopy for induction of general anesthesia, thus avoiding tracheostomy

Aspiration of a dental bridge: a diagnostic challenge

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