Ingested foreign body associated with tooth extraction: Report of a case
DOI:
https://doi.org/10.33448/rsd-v10i5.15206Keywords:
Respiratory aspiration; Foreign bodies; Endoscopic ultrasound-guided fine needle aspiration; Surgery, oral.Abstract
Aspiration and ingestion of teeth, dental prostheses and other foreign bodies in maxillofacial injuries is a known complication necessitating prompt recognition and early treatment to minimize potentially serious and, sometimes, even fatal consequences. However, an aspirated or ingested foreign body does not always produce untoward affects and may be overlooked when no acute respiratory distress is evident or multiple life-threatening injuries are present. Here, we report a case in its presentation; the patient underwent extraction of a left upper third molar. After extraction, alveolar irrigation was performed with syringe, needle and sterile saline. the patient ingested the irrigation needle. The patient was properly referred to the emergency room of the hospital of Santa Fé do Sul and referred to the care of the general surgeon, who removed the needle with endoscopic removal under sedation. Clinicians must be aware that the instrument used for dental treatment are mostly small and there is a risk of these falling into the oropharynx and being swallowed or inhaled. The paper also emphasizes that attention to the potentially serious consequences and to offer guidance on management.
References
Bergermann, M., Donald, P. J., & Wengen, D. F. Screwdriver aspiration. A complication of dental implant placement. Int J Oral Maxillofac Surg 1992; 21:339–341.
Burke, A. J., Vining, D. J., McGuirt, W. F. Jr. et al. Evaluation of airway obstruction using virtual endoscopy. Laryngoscope 2000; 110(1):23-9.
Chelvarajah R, Bycroft J. Writing and publishing case reports: the road to success. Acta Neurochir, 146: 313-6, 2004.
Cohen H. How to write a patient case report. Am J Health Syst Pharm, 63: 1888–92.
De Souza, J. G., Schuldt Filho, G., Pereira Neto, A. R., et al. Accident in implant dentistry: involuntary screwdriver ingestion during surgical procedure. A clinical report. J Prosthodont. 2:191–193.
Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.
Fields, R. T., & Schows, S. R. Aspiration and ingestion of foreignbodies in oral and maxillofacial surgery; a review of the literature and report of five cases. Am J Oral Maxillofacial Surg; 5 6:1091– 1098.
Henderson, C. T., Engel, J., & Schlesinger, P. Foreign body ingestion; review and suggested guidelines for management. Endoscopy 19:68–71.
Hong, S. J., Goo, H. W., & Roh, J. L. Utility of spiral and cine CT scans in pediatric patients suspected of aspirating radiolucent foreign bodies. Otolaryngol Head Neck Surg 2008; 138:576Y580.
Huang, H. J., Fang, H. Y., Chen, H. C., et al. Three-dimensional computed tomography for detection of tracheobronchial foreign body aspiration in children. Pediatr Surg Int 2008; 24:157Y160.
Ludemann, J. P., Hughes, C. A., Holinger, L. D. Management of foreign bodies of the airway: In: Shields, T. W., LoCicero, J., Ponn, R. B., editors. General thoracic surgery. 5th ed. Philadelphia: Lippencott Williams & Wilkens; 853–61.
Robert Sean Miller, J Paul Willging, Michael J Rutter, Korpong Rookkapan. Chronic esophageal foreign bodies in pediatric patients: a retrospective review. Int J Pediatr Otorhinolaryngol. 68(3):265-72.
Monini, A. C., Maia, L. G., Jacob, H. B., & Gandini, L. G. Accidental swallowing of orthodontic expansion appliance key. Am J Orthod Dentofacial Orthop. 140:266–268.
Mohan, R., Rao, S., Benjamin, M., & Bhagavan, R. K. Accidental ingestion of a barbed wire broach and its endoscopic retrieval: prevention better than cure. Indian J Dent Res. 22:839–842.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da Pesquisa Científica. UFSM.
Pingarrón Martín, L., Morán Soto, M. J., Sanchez Burgos, R., et al. Bronchial impaction of an implant screwdriver after accidental aspiration: report of a case and revision of the literature. Oral Maxillofac Surg 14(1):43-7.
Senocak, M. E., et al. CT virtual bronchoscopy in the evaluation of children with suspected foreign body aspiration. Eur J Radiol 2003; 48(2):188-92.
Souza, F. A., Statkievicz, C., Guilhem Rosa, A. L., & Da Silveira Bossi, F., Management of accidental swallowing in implant dentistry. Journal of Prosthetic Dentistry, 114(2), 2015; 167 – 170.
Tiwana, K. K., Morton, T., & Tiwana, P. S. Aspiration and ingestion in dental practice: a 10-year institutional review. J Am Dent Assoc 2004; 135:1287–1291.
Tripathi, T., Rai, P., & Sing, H. Foreign body ingestion of orthodontic origin. Am J Orthod Dentofacial Orthop 2011; 139:279-83).
Umesan, U. K., Chua, K. L., & Balakrishnan, P. Prevention and management of accidental foreign body ingestion and aspiration in orthodontic practice. Ther Clin Risk Manag. 8: 245–252.
Webb, W. A. Management of foreign bodies of the upper gastrointestinal tract. Gastroenterol 1988; 94:204–216.
Xiao, W. L., Zhang, D. Z., & Wang, Y. H. Aspiration of two permanent teeth during maxillofacial injuries. J Craniofac Surgery 2009;20(2):558-60.
Yin, R. K. (2015). O estudo de caso. Bookman.
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Copyright (c) 2021 Stéfani Caroline Ferriolli; Luan Pier Benetti; Ana Maira Pereira Baggio; Vinícius Ferreira Bizelli; Edith Umasi Ramos ; Daniela Ponzoni; Ana Paula Farnezi Bassi
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