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

Hiroshi Hidaka, Takahiro Suzuki, Hiroaki Toyama, Shin Kurosawa, Kazuhiro Nomura, Yukio Katori

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background: To 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, methods: Clinical case record with a video clip.Setting: University hospital.Case presentation: A 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.Conclusions: Tracheal tube introducers combined with video-assisted laryngoscopy appear to be useful for airway management, decreasing the number of avoidable tracheostomies performed.

Original languageEnglish
Article number23
JournalHead and Face Medicine
Volume10
Issue number1
DOIs
Publication statusPublished - 2014 Jun 11

Keywords

  • Dental bridge
  • Dislodgement
  • Foreign body
  • Tracheostomy
  • Tube introducer

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Dentistry(all)
  • Clinical Neurology

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