Aspiration of a dental bridge: case report or diagnostic challenge

Avramovski, Petar and Avramovska, Maja and Sotiroski, Kosta and Sikole, Aleksandar (2016) Aspiration of a dental bridge: case report or diagnostic challenge. Respiratory Case Report, 10 (2). pp. 4-8. ISSN 2147-2475

Text 4. (2016) RESPIR CAS REP, Aspiration of a dental bridge....pdf - Published Version Download (1MB)

Abstract

Foreign body aspiration is a worldwide health problem that often results in life threatening complications. Accidental aspiration of metal ceramic bridge (MCB) is not uncommon, but has not been reported frequently in the literature. Dental treatment procedures, impaired cough reflex, epileptic seizure, intubation procedures during resuscitation and maxillofacial trauma are the main reasons for accidental aspiration.
Airway foreign bodies can become lodged in the larynx, trachea, and bronchus. The earliest symptoms that commonly appear during aspiration include coughing, chocking and wheezing including long-term complications, such as lung abscess and pneumonia, too. A 73-year-old Macedonian female with a past medical history of hypertension, chronic obstructive bronchitis, diabetes and epilepsy due to acute onset of incessant cough, dyspnea and an inspiratory and expiratory wheeze, apparently obstructive, was brought to the internal medicine emergency ambulance. Auscultation finding showed right sided weakened vesicular breathing, which closely mimic an acute asthma exacerbation. After conducted chest radiography, radiologist described metallic foreign body (MFB) in the right bronchus and soft transparency difference between left and right lungs. For better visibility of MFB and its position in the lung, a computed tomographic (CT) scan was done which confirmed its position in the right lower lobe bronchus near its origin. Foreign body forceps was inserted and this MFB was grasped and withdrawn. It was found to be inhaled MCB with 4-unit crown. After the bronchoscopy intervention, the control rentgenography and the gas analysis (pO2 and pCO2) didn’t show any pathological findings. Quick and timely appropriate intervention by bronchoscopy removal saved the patients from extensive reconstructive surgery.
Key words: Foreign body aspiration, metal ceramic bridge, radiography, bronchoscopy

Item Type:	Article
Subjects:	Scientific Fields (Frascati) > Medical and Health Sciences > Clinical medicine
Divisions:	UKLO Network
Depositing User:	D-r Petar Avramovski
Date Deposited:	27 May 2024 05:54
Last Modified:	27 May 2024 05:54
URI:	https://eprints.uklo.edu.mk/id/eprint/9905

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