Retrieval of Aspirated Teeth in an Adult Polytrauma Patient using Pediatric Flexible Fiberoptic Bronchoscopy Allied with Endoscopic Rat Tooth Alligator Jaw Grasping Forceps
Ali Al Bshabshe, Amer Hassan Assiri, Nasser Mohammed Alwadai, Omprakash Palanivel
Citation Information :
Al Bshabshe A, Assiri AH, Alwadai NM, Palanivel O. Retrieval of Aspirated Teeth in an Adult Polytrauma Patient using Pediatric Flexible Fiberoptic Bronchoscopy Allied with Endoscopic Rat Tooth Alligator Jaw Grasping Forceps. Indian J Respir Care 2020; 9 (2):236-239.
Foreign body (FB) aspiration in maxillofacial injuries is a life-threatening event. A long-time interval between the aspiration and retrieval results in the formation of granulation tissue and mucosal inflammation around the FB, which could restrict the visual field of bronchoscopy and its retrieval. In addition, it can affect the lung structure with fatal complications. Herein, we present a case of unique FB retrieval (2 joined crown teeth – measuring 19 mm) within 8 h following aspiration in a 24-year-old male polytrauma victim. Further, we discuss our successful modified retrieval technique accordingly without resulting in any complications.
Hefny AF, El-Ashaal Y, Ali YB, Abu-Zidan FM. Aspiration of an incisor tooth in a polytrauma patient. Medical image. N Z Med J 2009;122:73-4.
Sakellaridis T, Koulaxouzidis G, Panagiotou I, Kigka C, Papamichalis G, Antypas G. Aspiration of fixed dental prosthesis following maxillofacial trauma. Emerg Med J 2008;25:143.
Allison MJ, Pezzia A, Gerszten E, Giffler RF, Mendoza D. Aspiration pneumonia due to teeth-950 AD and 1973 AD. South Med J 1974;67:479-83.
Casalini AG, Majori M, Anghinolfi M, Burlone E, D'Ippolito R, Toschi M, et al. Foreign body aspiration in adults and in children: Advantages and consequences of a dedicated protocol in our 30-year experience. J Bronchology Interv Pulmonol 2013;20:313-21.
Nadjem H, Pollak S, Windisch W, Perdekamp MG, Thierauf A. Tooth aspiration: Its relevance in medico-legal autopsies. Forensic Sci Int 2010;200:e25-9.
Rafanan AL, Mehta AC. Adult airway foreign body removal. What's new? Clin Chest Med 2001;22:319-30.
Ramos MB, Botana-Rial M, García-Fontán E, Fernández-Villar A, Torreira MG. Update in the extraction of airway foreign bodies in adults. 2016. http://dx.doi.org/10.21037/jtd.2016.11.32.
Xiao WL, Zhang DZ, Wang YH. Aspiration of two permanent teeth during maxillofacial injuries. J Craniofac Surg 2009;20:558-60.
Adjeso T, Damah MC, Murphy JP, Kojo Anyomih TT. Foreign body aspiration in Northern Ghana: A review of pediatric patients. Hindawi Int J Otolaryngol 2017; 1478795.
Hewlett JC, Rickman OB, Lentz RJ, Prakash UB, Maldonado F. Foreign body aspiration in adult airways. Therapeutic approach. J Thorac Dis 2017;9:3398-409.
Madan K, Aggarwal AN, Bhagat H, Singh N. Acute respiratory failure following traumatic tooth aspiration. BMJ Case Rep 2013;:bcr2012008393. doi: 10.1136/bcr-2012-008393.
Kim DW, Jang JY, Shim H, Jung JY, Kim EY, Nam W, et al. Removal of aspirated teeth in a multiple trauma patient, using fiberoptic bronchoscopy with simultaneous tracheostomy: Review of 2 cases. Respir Care 2014;59:e1-4.
Othman MN, Kumarasamy S, Ambu VK, See GB. Foreign body in bronchus: A rare method of removal. RMJ 2013;38:204-5.
Kim KC. Extraction of endobronchial tooth by flexible bronchoscopy using fishnet basket in patients of intensive care unit with artificial airway. Korean J Crit Care Med 2014 29:38-42.
Dong YC, Zhou GW, Bai C, Huang HD, Sun QY, Huang Y, et al. Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope: Experience with 200 cases in China. Intern Med 2012;51:2515-9.