TY - JOUR
T1 - Dislocated dental bridge covering the larynx
T2 - Usefulness of tracheal tube guides under video-assisted laryngoscopy for induction of general anesthesia, thus avoiding tracheostomy
AU - Hidaka, Hiroshi
AU - Suzuki, Takahiro
AU - Toyama, Hiroaki
AU - Kurosawa, Shin
AU - Nomura, Kazuhiro
AU - Katori, Yukio
PY - 2014/6/11
Y1 - 2014/6/11
N2 - 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.
AB - 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.
KW - Dental bridge
KW - Dislodgement
KW - Foreign body
KW - Tracheostomy
KW - Tube introducer
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U2 - 10.1186/1746-160X-10-23
DO - 10.1186/1746-160X-10-23
M3 - Article
C2 - 24919781
AN - SCOPUS:84902546923
VL - 10
JO - Head and Face Medicine
JF - Head and Face Medicine
SN - 1746-160X
IS - 1
M1 - 23
ER -