Departments of Otolaryngology Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8575, Japan.
Head Face Med. 2014 Jun 11;10:23. doi: 10.1186/1746-160X-10-23.
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.
University hospital.
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.
Tracheal tube introducers combined with video-assisted laryngoscopy appear to be useful for airway management, decreasing the number of avoidable tracheostomies performed.
描述了一例使用覆盖声带的卡环的牙桥脱位的病例，该患者在视频辅助喉镜引导下使用管交换器成功插管。
研究设计、方法：临床病例记录和视频片段。
大学医院。
一名 83 岁女性在进食时牙桥脱位。喉镜检查显示异物几乎完全覆盖声带，脱位部分义齿的卡环刺穿咽壁。在全身麻醉诱导前，在清醒状态下将气管导管导入器与视频辅助喉镜一起插入气管，随后成功进行了气管插管。然后，通过口腔取出脱位的义齿。
气管导管导入器联合视频辅助喉镜似乎可用于气道管理，减少不必要的气管切开术数量。
