Sasaki Ryo, Uchiyama Hiroto, Okamoto Toshihiro, Fukada Kenji, Ogiuchi Hideki, Ando Tomohiro
Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine, Shinjuku-ku, TokyoInstitute of Advanced Biomedical Engineering and Science, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan.
Dent Traumatol. 2013 Dec;29(6):467-8. doi: 10.1111/j.1600-9657.2012.01116.x. Epub 2012 Feb 2.
Penetrating injuries in the oral cavity are common in children. However, penetrating injuries with retained foreign bodies are rare. We report a case of a toothbrush impalement injury of the floor of the mouth in a child with autism. A 5-year-old boy with autism presented with an accidentally impaled toothbrush in the oral cavity. He was taken to the operation room and examined under general anesthesia. The handle of the toothbrush was cut off using rib scissors for mask ventilation, and intra-oral intubation was performed. The toothbrush was located approximately 2.5 cm into the floor of the mouth. The toothbrush was removed uneventfully. Intravenous antibiotic therapy was instituted during hospitalization, and discharge from the hospital occurred 4 days after the operation.
口腔穿透伤在儿童中很常见。然而，伴有异物残留的穿透伤却很罕见。我们报告一例患有自闭症的儿童发生牙刷刺入口腔底部的病例。一名5岁自闭症男孩因意外导致牙刷刺入口腔。他被送往手术室，在全身麻醉下接受检查。使用肋骨剪切断牙刷柄以进行面罩通气，然后进行口腔插管。牙刷刺入口腔底部约2.5厘米处。顺利取出牙刷。住院期间给予静脉抗生素治疗，术后4天出院。
