Huh Jin-Young
Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University Gwang-Myeong Hospital, Chung-Ang University College of Medicine, Gwang-Myeong, Republic of Korea.
J Dent Anesth Pain Med. 2022 Jun;22(3):161-174. doi: 10.17245/jdapm.2022.22.3.161. Epub 2022 May 27.
Foreign body aspiration can produce a medical emergency. Obstruction of the airways can be life-threatening, and complications may develop in less-severe cases if it is left untreated. Although it is more prevalent in children by approximately three times, adults can still experience it, and it is more frequently related to healthcare in adults. Objects used in dental treatment are usually placed in the oral cavity and can be ingested or inhaled by accident. Dental treatment has been identified as an important cause of the misplacement of foreign bodies in the airway. However, few reports have been published on dentistry-related foreign body aspiration. This paper discusses the disease course, management, and clinical outcomes of foreign body aspiration, especially those associated with dentistry. The patient must be examined for respiratory distress. If the patient is unstable, urgent airway management and the maneuvers for removal should be performed. Radiographs and computed tomography can help identify and locate the object. The treatment of choice is often bronchoscopy, and both flexible and rigid endoscopes can be used depending on the situation. Preventive measures need to be implemented to avoid inhalation accidents given the potential consequences. Though the incidence is rare, healthcare levels need to be enhanced to avert morbidity and mortality. Radiological evaluation and bronchoscopy are vital for management.
异物吸入可引发医疗紧急情况。气道阻塞可能危及生命,若不治疗,病情较轻的病例也可能出现并发症。尽管儿童中的发生率约为成人的三倍,但成人也会发生,且在成人中更常与医疗保健相关。牙科治疗中使用的物品通常放置在口腔中,可能会意外被吞食或吸入。牙科治疗已被确认为气道异物误置的一个重要原因。然而,关于牙科相关异物吸入的报道很少。本文讨论异物吸入的病程、管理和临床结果,特别是与牙科相关的情况。必须检查患者是否有呼吸窘迫。如果患者情况不稳定,应进行紧急气道管理和移除操作。X线片和计算机断层扫描有助于识别和定位异物。通常首选支气管镜检查,可根据情况使用柔性和刚性内窥镜。鉴于潜在后果,需要采取预防措施以避免吸入事故。尽管发生率很低,但仍需提高医疗水平以避免发病和死亡。放射学评估和支气管镜检查对管理至关重要。