Department of Thoracic Surgery, Kocaeli University Medical Faculty, Izmit, Kocaeli, Turkey.
Department of Anesthesiology and Reanimation, Kocaeli University Medical Faculty, Izmit, Kocaeli, Turkey.
J Cardiothorac Surg. 2023 Feb 21;18(1):78. doi: 10.1186/s13019-023-02178-5.
Tracheobronchial foreign body is uncommon in adults. Among foreign body aspirations, tooth and dental prosthesis aspiration is a very rare condition. In the literature, dental aspiration is generally found as a case report and there is no single-center case series. In this study, we aimed to present our clinical experience in 15 cases with tooth and dental prosthesis aspiration.
Data from 693 patients who presented to our hospital for foreign body aspiration between the years 2006 and 2022 were analyzed retrospectively. Fifteen cases who aspirated tooth and dental prostheses as foreign bodies were included in our study.
Foreign bodies were removed by rigid bronchoscopy in 12 (80%) cases and fiberoptic bronchoscopy in 2 (13.3%) cases. In one of our cases, foreign body was expected with cough.When evaluated in terms of foreign body, partial upper anterior tooth prosthesis in 5 (33.3%) cases, partial anterior lower tooth prosthesis in 2 (13.3%) cases, dental implant screw in 2 (13.3%) cases, lower molar crown in 1 (6.6%) case, lower jaw bridge prosthesis in 1(6.6%) case, upper jaw bridge prosthesis in 1(6.6%) case, broken tooth fragment in 1(6.6%) case, upper molar tooth crown coating in 1(6.6%) case and upper lateral incisor tooth in 1(6.6%) case were observed.
Dental aspirations can also occur in healthy adults. Anamnesis is the most important factor in diagnosis and diagnostic bronchoscopic procedures should be performed in cases where adequate anamnesis cannot be obtained.
气管支气管异物在成人中并不常见。在异物吸入中，牙齿和义齿吸入是一种非常罕见的情况。在文献中，牙齿吸入通常作为病例报告发现，尚无单一中心的病例系列。在本研究中，我们旨在报告我们在 15 例牙齿和义齿吸入病例中的临床经验。
回顾性分析了 2006 年至 2022 年期间因异物吸入就诊于我院的 693 例患者的数据。本研究纳入了 15 例吸入牙齿和义齿作为异物的患者。
12 例（80%）通过硬支气管镜和 2 例（13.3%）通过纤维支气管镜取出异物。在我们的一个病例中，预期的异物是咳嗽时产生的。根据异物进行评估，5 例（33.3%）为部分上前牙义齿，2 例（13.3%）为部分前下牙义齿，2 例（13.3%）为牙种植体螺丝，1 例（6.6%）为下磨牙冠，1 例（6.6%）为下颌桥义齿，1 例（6.6%）为上颌桥义齿，1 例（6.6%）为断牙碎片，1 例（6.6%）为上颌磨牙牙冠涂层，1 例（6.6%）为上颌侧切牙。
健康成年人也可能发生牙齿吸入。病史是诊断的最重要因素，如果无法获得充分的病史，应进行诊断性支气管镜检查。
