Residency Program of the Oral and Maxillofacial Surgery Service, Hospital João XXIII/FHEMIG, Belo Horizonte-MG, Brazil.
General and Trauma Surgery, Hospital João XXIII/FHEMIG, Belo Horizonte MG, Brazil.
J Stomatol Oral Maxillofac Surg. 2022 Sep;123(4):452-458. doi: 10.1016/j.jormas.2021.10.009. Epub 2021 Oct 21.
The aim of this present study is to describe a case of a screwdriver implant aspiration removed with flexible bronchoscopy. This study reviewed the current literature and the authors also proposed an airway management algorithm in case of suspected foreign body aspiration during dental procedures. A review of English-language literature of aspiration of objects after clinical dental practice from 1984 to 2021 was performed. The bronchoscopy was the main method for dental items removal. A total of 57 cases from the literature were enrolled in this study. Aspiration of dental crown and prostheses (43.85%) followed by implant material (19.29%) and tooth (15.78%) were the main aspirated items. Prevention is the better way to avoid this type of complication. Early diagnosis facilitates the removal of foreign body and bronchoscopy is considered the treatment of choice for removal of foreign body aspiration. Also, regular professional training in basic life support is required.
本研究旨在描述一例使用软性支气管镜取出螺丝刀植入物的病例。本研究回顾了当前的文献,作者还提出了一种气道管理算法,以应对在牙科手术过程中疑似异物吸入的情况。对 1984 年至 2021 年临床牙科实践后异物吸入的英文文献进行了回顾。支气管镜检查是取出牙科物品的主要方法。本研究共纳入文献中的 57 例病例。主要吸入物为牙冠和义齿(43.85%),其次为植入物材料(19.29%)和牙齿(15.78%)。预防是避免此类并发症的更好方法。早期诊断有助于异物的取出,支气管镜检查被认为是异物吸入取出的首选治疗方法。此外,还需要定期进行基本生命支持的专业培训。