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喉镜所致医源性牙齿损伤的处理:病例系列

Management of Laryngoscope-Induced Iatrogenic Dental Injury: A Case Series.

作者信息

Goswami Mridula, Narula Vashi, Pandiyan Ramanandvignesh

机构信息

Department of Pediatric and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India.

Department of Dentistry, Government Medical College and Hospital, Chandigarh, India.

出版信息

Bull Emerg Trauma. 2024;12(4):202-206. doi: 10.30476/beat.2024.100293.1466.

Abstract

Dental injury is a common anesthesia-related adverse event, with a high incidence of damage to teeth and surrounding tissues during oro-endotracheal intubation. Poor oral hygiene, compromised periodontium, faulty or loose prosthesis, proclined maxillary incisors along with increased difficulty level of airway management, improper use of laryngoscope, and use of maxillary anterior teeth as a fulcrum for achieving accessibility to the airway are all risk factors for iatrogenic dental injury. This type of injury provides additional physical and psychological trauma to patients who have already undergone medical surgical procedures. The consequences of such mishaps might potentially result in medico-legal suits and financial claims. The present case series described three cases of managing iatrogenic dental lesions during oro-endotracheal intubation, after obtaining written informed consent, as well as methods for preventing such accidental injuries. This study emphasized the importance of collaboration between medical and dental professionals in preventing and successfully managing accidental dental injuries.

摘要

牙齿损伤是一种常见的与麻醉相关的不良事件,在经口气管插管期间牙齿及周围组织受损的发生率很高。口腔卫生差、牙周组织受损、假牙有缺陷或松动、上颌切牙前倾,以及气道管理难度增加、喉镜使用不当,将上颌前牙用作获取气道通路的支点等,都是医源性牙齿损伤的危险因素。这类损伤会给已经接受外科手术的患者带来额外的身体和心理创伤。此类事故的后果可能会引发医疗法律诉讼和经济索赔。本病例系列描述了3例在获得书面知情同意后处理经口气管插管期间医源性牙齿损伤的病例,以及预防此类意外伤害的方法。本研究强调了医学和牙科专业人员在预防和成功处理意外牙齿损伤方面合作的重要性。

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