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无声的威胁:一例牙钻头部误吸病例

Silent threat: A case on dental drill head aspiration.

作者信息

De Chiara Marco, Attanasio Ludovica, Boccadifuoco Francesca, Panico Alessandra, Giordano Diego Sandro, Russo Giuseppe

机构信息

Radiology Unit, Ospedale Accreditato Villa dei Fiori, 80011 Naples, Italy.

Department of Precision Medicine, University of Campania "L. Vanvitelli", 80138 Naples, Italy.

出版信息

Radiol Case Rep. 2025 Mar 8;20(5):2408-2411. doi: 10.1016/j.radcr.2025.02.015. eCollection 2025 May.

Abstract

Dentistry is a relatively safe medical field, but it carries the risk of rare yet potentially severe complications like accidental foreign body aspiration. While literature on patient safety in dentistry remains limited, this case underscores the importance of promptly recognizing and managing such incidents. A 76-year-old patient arrived at the emergency room with concerns of having ingested a dental drill head during a procedure. Despite lacking typical symptoms, imaging revealed a foreign body in the right airways, highlighting the necessity of advanced diagnostics even when signs are lacking. This case underscores the critical need for preventive measures and comprehensive diagnostic evaluation in dental practice to mitigate such risks and improve patient safety.

摘要

牙科是一个相对安全的医学领域,但它存在罕见却可能严重的并发症风险,如意外异物吸入。虽然关于牙科患者安全的文献仍然有限,但该病例凸显了及时识别和处理此类事件的重要性。一名76岁的患者因担心在手术过程中吞入牙钻头而来到急诊室。尽管缺乏典型症状,但影像学检查显示右气道有异物,这凸显了即使没有症状也需要进行高级诊断的必要性。该病例强调了牙科实践中采取预防措施和进行全面诊断评估以降低此类风险并提高患者安全的迫切需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b586/11930537/d42918972420/gr2.jpg

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