scholarly journals Foreign Body Aspiration in Dentistry

2021 ◽  
pp. 8-14
Author(s):  
Drishti Dixit ◽  
Amit Reche ◽  
Kumar Gaurav Chabra ◽  
Priyanka Paul Madhu ◽  
Anura Saher Raza
Keyword(s):  
Foreign Body ◽  
Standard Operating Procedure ◽  
Foreign Body Aspiration ◽  
Careful Study ◽  
Age Group ◽  
Aged Patients ◽  
Age Related ◽  
Threatening Condition ◽  
Foreign Body Extraction ◽  
Life Threatening

Background: The foreign body aspiration is very common while performing a dental procedure. Most of the patients are from lower age group as these group of people have high amount of sugar and starch containing diet which is not good for the oral health. But it is not limited to them and several aged patients are also victim of foreign body aspiration. Summary: Foreign bodies can be anything from cloth dam, barrier techniques itself to broken tooth. Due to age related delayed gag reflex and impact of anesthesia can be possible reasons behind the foreign body aspiration. Pulmonary aspiration is a serious cause of concern and cannot be neglected. It can go unnoticed which can brought to cognizance after careful study and observation of the radiographs. Endoscopic procedures are used to locate and extract the foreign body from the lungs. Conclusion: Proper guidelines regarding the extraction of foreign body extraction and identification must be followed as it is life threatening condition. Vulnerable age group must be treated with extra caution and every chance of mistake must be covered. Standard operating procedure must be strictly adhered to in order rot have maximum accuracy.

scholarly journals Dentures that keeps airway patent: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 394
Author(s):  
Siti F. A. Razak ◽  
Stacy A. Jamarun ◽  
Siti H. Sanudin
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Foreign Body Aspiration ◽  
Main Complaint ◽  
Vehicle Accident ◽  
Threatening Condition ◽  
Life Threatening ◽  
High Index Of Suspicion

<p class="abstract">Foreign body aspiration is a life-threatening condition that requires immediate attention and intervention. Foreign body aspiration in adults usually occurs during dental procedure or motor vehicle trauma. Classical symptoms include choking, cough, haemoptysis, hoarseness or stridor. This case report presents an incident of a foreign body lodged at the subglottic region in an adult wearing dental prosthesis; the main complaint was hoarseness post motor vehicle accident. High index of suspicion coupled with correct investigation will facilitate the diagnosis of a foreign body in the airway thus immediate intervention can be taken to prevent morbidity and mortality.</p>

scholarly journals A comparison between Sevoflurane Volatile Induction/Maintenance Anesthesia and Propofol Total Intra-venous Anesthesia for Rigid Bronchoscopy under Spontaneous Breathing for Tracheal/Bronchial Foreign Body Removal in Children

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
O M T Al-Safty ◽  
O R Youssef ◽  
D M Kamaleldin ◽  
M K M Youssef
Keyword(s):  
Foreign Body ◽  
Controlled Trial ◽  
Anesthetic Management ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Foreign Body Removal ◽  
Bronchial Foreign Body ◽  
Threatening Condition ◽  
Life Threatening ◽  
Double Blinded

Abstract Background Foreign body aspiration is a life-threatening condition. Asphyxiation from inhaled foreign bodies is a leading cause of accidental death among children younger than 4 years. While early clinicians used topical anesthesia, general anesthesia became common place for the removal of aspirated objects with increased experience with the rigid bronchoscope and advances in anesthetic delivery. Inhaled anesthesia and total intravenous anesthesia are widely used for rigid bronchoscopy in children. Objective In this study, we compared sevoflurane VIMA and propofol TIVA, when used for both induction and maintenance of anesthesia in children undergoing rigid bronchoscopy for tracheal or bronchial foreign body removal. Methods This is a prospective double – blinded, randomized controlled Trial, After Approval is obtained from the research ethics committee of anaesthesia and intensive care department, Ain Shams University. Patients were randomly divided into two groups (n = 30 each). In Group VIMA, anesthesia was induced with inhalation of sevoflurane. Before induction, a closed circuit with a 1-l reservoir bag was overflowed by 8 vol % sevoflurane with 0.3 l/min fresh oxygen flow for 3 min. In Group TIVA, a bolus of 2.5 mg/kg propofol was administered over 30 seconds. Additional propofol 0.5–1 mg/kg was given as needed to deepen anesthesia. Results Our results demonstrate that compared with propofol TIVA, sevoflurane VIMA provides more stable haemo-dynamics and respiration, faster induction and recovery and higher incidence of excitement in paediatric patients undergoing tracheal/bronchial foreign body removal. Conclusion Foreign body aspiration is a life-threatening condition. Anesthetic management can be challenging, as the airway is shared with the surgeon and adequate ventilation must be maintained despite airway manipulation.

scholarly journals A Cause of Asthma Misdiagnosis: Foreign Body Aspiration That Allows Air Passage Through

2021 ◽  
Author(s):  
Zeynep Reyhan Onay ◽  
Yetkin Ayhan ◽  
Nilay Baş İkizoğlu ◽  
Ersan Uzun ◽  
Gülay Bilgin ◽  
...  
Keyword(s):  
Foreign Body ◽  
Fiber Optic ◽  
Main Bronchus ◽  
Foreign Body Aspiration ◽  
Asthma Treatment ◽  
Left Main ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Air Passage

Foreign body aspiration is a life-threatening condition in childhood. Clinical and radiological diagnosis may be delayed in cases in which foreign body has a lumen and allows the air passage through and is also misdiagnosed as asthma or chronic cough. The delay in the diagnosis can cause morbidity and mortality. We have reported the case of an 11-year-old boy with foreign body aspiration who has been treated as asthma. His dry cough could not be controlled with the asthma treatment. He had swallowed a piece of pipette before the coughing started. Fiber optic bronchoscopy was applied. The piece of pipette was seen in the left main bronchus which allowed the air passage through its lumen. After the removal, his complaints disappeared. In conclusion, the patients with a history of aspiration and without signs of lateralization in physical or radiological examinations should be evaluated by fiber optic bronchoscopy in terms of foreign body aspiration.

scholarly journals Foreign body aspiration in pediatric age group

2021 ◽  
Vol 45 (Supp2) ◽  
pp. S72-S73
Author(s):  
Nuvit Sarimurat ◽  
◽  
Senol Emre ◽  
Keyword(s):  
Foreign Body ◽  
Foreign Body Aspiration ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group

scholarly journals Foreign Body Aspiration of a Dental Bridge in the Left Main Stem Bronchus

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Monay Mahmoud ◽  
Syed Imam ◽  
Hetalben Patel ◽  
Matthew King
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Neuromuscular Diseases ◽  
Foreign Body Aspiration ◽  
Main Stem Bronchus ◽  
Life Threatening ◽  
Left Main Stem Bronchus ◽  
Successful Retrieval ◽  
Prompt Diagnosis ◽  
Life Threatening Event

Aspiration of tracheobronchial foreign bodies is a life-threatening event that occurs mainly in children. Occurrence in adults is rare and usually has a subtle presentation as most adults are unaware of aspiration of any foreign material. Decreased levels of consciousness, sedation, and neuromuscular diseases are major risk factors for foreign body aspiration in adults. Prompt diagnosis and intervention through foreign body retrieval are critical to prevent significant morbidity and mortality. Retrieval procedure is risky, and sudden decompensation of the patient can occur anytime. We are presenting an adult who accidentally aspirated his dental prosthesis during sleep and underwent successful retrieval of the dental bridge using flexible bronchoscopy.

scholarly journals Foreign body aspiration in pediatric age group

2010 ◽  
Vol 45 (Supplement) ◽  
pp. 72-73
Author(s):  
Nüvit Sarımurat
Keyword(s):  
Foreign Body ◽  
Foreign Body Aspiration ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group

scholarly journals Urgent bronchoscopy for foreign body aspiration: 48 children among 1096 patients

Acta Medica ◽  
2019 ◽  
Vol 50 (3) ◽  
pp. 38-43
Author(s):  
Alper Avcı ◽  
Onder Ozden ◽  
Zehra Hatipoglu ◽  
Serdar Onat
Keyword(s):  
Foreign Body ◽  
Postoperative Complications ◽  
Oxygen Saturation ◽  
English Literature ◽  
Length Of Hospital Stay ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Peripheral Oxygen Saturation ◽  
Life Saving ◽  
Life Threatening

Objective: Foreign body aspiration (FBA) is a potentially life-threatening emergency in children. Urgent rigid bronchoscopy (URB) should be performed when presentation includes severe respiratory failure with suspicion for FBA. To the best of the knowledge, this is the first study that evaluates URB in English literature. Methods: Forty-eight patients who underwent URB were included in this study. From the medical records, the patients’ demographic characters, endotracheal intubation status, peripheral oxygen saturation, bronchoscopy results, type and location of foreign body (FB), intra- and postoperative complications and mortality, X-ray, length of hospital stay were evaluated. Results: Twenty-four of the 48 patients were non-intubated. Peripheral oxygen saturation values were 60 ± 14.40 in the preoperative period. No statistical differences were found between intubated and non-intubated patients in terms of intra- and postoperative complications. There were no statistical differences between patients with negative and positive results for bronchoscopy in terms of intra- and postoperative complications. Conclusions: Bronchoscopy is not without risk; however, it is a life-saving procedure. Despite negative FB results, urgent bronchoscopy should be performed in suspicious cases.

scholarly journals Upper Airway Obstruction among the Paediatric Population in the University of Port Harcourt Teaching Hospital: The Place of Tracheostomy in the Management

2020 ◽  
pp. 46-52
Author(s):  
M. U. Ibekwe ◽  
Paul Ni
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Teaching Hospital ◽  
Upper Airway ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Age Group ◽  
Respiratory Difficulty ◽  
Port Harcourt ◽  
Paediatric Age

Background: The paediatric age group has very peculiar anatomic and physiologic airways therefore, obstruction which commonly occurs in this population, can pose serious challenges in this age group. Aim: To study the pattern and aetiology of acute upper airway obstruction in the paediatric age group in University of Port Harcourt teaching hospital and to determine the place of tracheostomy in the management. Patients and Methods: It is a descriptive hospital based study of all paediatric patients; aged 0-15 years with upper airway obstruction that presented to the ear, nose and throat department and the children emergency ward of university of Port Harcourt teaching hospital within the period of January 2014 to December 2019. Data on demographics, clinical presentations, causes and management were obtained using a Proforma. The diagnosis of upper airway obstruction is made in a child with any degree of respiratory difficulty with or without associated stridor or stertor arising from lesions above the thoracic inlet. Children with respiratory difficulty other than that from an upper airway obstruction were excluded from the study. Data obtained were analyzed with the IBM statistical package for social sciences SPSS version 20. Results were presented in simple descriptive forms with tables. Results: One hundred and sixty paediatric patients with upper air way obstruction with age ranging from 0-15 years were studied. The prevalence of upper airway obstruction was 1.87%. There were more males than females; male to female ratio was 1.2:1. Age group 4-7 years were the most affected, 43.75%. Foreign body aspiration was the commonest cause. Majority of the patients had tracheostomy done, 48.75%. Mortality was n=1(0.625%). Conclusion: Upper air way obstruction among the paediatric age group is still common with foreign body aspiration as a very important cause in our setting. The very young are the most affected and tracheostomy appears to still be the main option of securing airway in these cases in our environment.

scholarly journals A Case of Whistle as Foreign Body in Trachea

2021 ◽  
Vol 6 (1) ◽  
pp. 1281-1286
Author(s):  
Puspa Zuleika
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Foreign Object ◽  
Case Presentation ◽  
Foreign Body Extraction ◽  
Tracheobronchial Foreign Body ◽  
History Of

Background. Most of foreign body aspiration cases are found in children under the age of fifteen. Pediatric patients often presents with non-food foreign body aspiration, such as toys. The most common clinical manifestation are history of choking following foreign object insertion into the mouth (85%), paroxysmal cough (59%), wheezing (57%) and airway obstruction (5%). Case presentation. Main principle of airway foreign body extraction is to do it immediately in the most optimal condition with slightest possible trauma. Rigid bronchoscopy is a suitable choice for tracheal foreign body extraction. We reported a case of seven years old male with tracheal foreign body presented with history of whistle ingestion five hours prior to admission. This patient was discharged from hospital after third days of rigid bronchoscopy procedure. Conclusion. History of foreign body aspiration in children should be suspected as a tracheobronchial foreign body. Rigid bronchoscopy is preferred to extract foreign bodies present in the trachea. The prognosis for tracheobronchial foreign body aspiration is good if the foreign body is treated early and without complications.

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