Bar Giora Yael, Weingram Tomer, Altabet Lior, Yair Nadav, Kachtan Ido, Bar Am Yoav
Koret School of Veterinary Medicine, Hebrew University of Jerusalem, Allone Abba, Israel.
Herzlia Veterinary Hospital, Herzlia, Israel.
JFMS Open Rep. 2022 Oct 10;8(2):20551169221125403. doi: 10.1177/20551169221125403. eCollection 2022 Jul-Dec.
Tooth aspiration is a rare occurrence in human medicine, and even more so in veterinary medicine. This report describes two cats that aspirated a tooth (one canine tooth and one premolar tooth) following maxillofacial trauma. One cat presented with dyspnoea, while the other showed no respiratory clinical signs. In both cases diagnosis was reached by obtaining routine thoracic radiographs, and successful retrieval of the teeth was achieved by bronchoscopy. Both cats recovered uneventfully.
To our knowledge, this is the first report in the veterinary literature of tooth aspiration into the tracheobronchial tree following maxillofacial trauma. The scope of this case series is to raise awareness that tooth aspiration can occur following maxillofacial trauma and has the potential for serious complications if not diagnosed and treated promptly. Therefore, an oral examination must be performed in every maxillofacial trauma patient and missing teeth should be accounted for, even when respiratory clinical signs are not detected.
牙齿误吸在人类医学中较为罕见,在兽医学中更是如此。本报告描述了两只猫在颌面创伤后误吸了一颗牙齿(一颗犬齿和一颗前磨牙)。一只猫出现呼吸困难,而另一只未表现出呼吸方面的临床症状。在这两个病例中,通过常规胸部X光片进行诊断,并通过支气管镜成功取出牙齿。两只猫均顺利康复。
据我们所知,这是兽医文献中关于颌面创伤后牙齿误吸进入气管支气管树的首例报告。本病例系列的目的是提高人们的认识,即颌面创伤后可能发生牙齿误吸,如果不及时诊断和治疗,有可能引发严重并发症。因此,对于每一位颌面创伤患者都必须进行口腔检查,即使未检测到呼吸方面的临床症状,也应查明是否有牙齿缺失。