대한치과마취과학회지 (Journal of The Korean Dental Society of Anesthesiology)

  • 제10권1호
  • /
  • Pages.54-57
  • /
  • 2010
  • /
  • 1598-4044(pISSN)
  • /
  • 2383-7039(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
권호 표지

금관 수복치료 후 발생한 좌측 기관지 내로의 금관 흡인에 관한 증례보고

The Aspiration of Foreign Body in the Left Tracheobronchial Tree during Gold Crown Restoration -A Case Report-

  • 신터전 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 서광석 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 김현정 (서울대학교 치의학대학원 치과마취과학교실)
  • Shin, Teo-Jeon (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Kim, Hyun-Jeong (Department of Dental Anesthesiology, Seoul National University, School of Dentistry)
  • 투고 : 2010.06.11
  • 심사 : 2010.06.20
  • 발행 : 2010.06.27
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Foreign body aspiration (FBA) into the tracheobronchial tree could be life threatening requiringprompt intervention. Any objects placed in the oral cavity put patients at a risk of aspirating or swallowing the objects slipped or broken by physical injuries. Here, we report a case of 30 yr old patient with FBA during gold crown replacement was successfully treated with the use of the flexible bronchoscope. Case: A 30 yr old woman was admitted to Seoul National Dental Hospitalfor an amalgam restoration. She was scheduled to gold crown restoration for replacement of the damaged amalgam at #37 site. After performing crown lengthening procedure, the aspiration of gold crown occurred during the cementation of the crown. After aspiration, the patients complained of the subjective distress of respiration. Chest radiograph revealed that gold crown was enlodged to the left bronchus. Flexible fiberoptics was inserted to the bronchus to remove the aspirated crown. Fiberoptic assisted removal of the aspiratedcrown was successfully performed. After removal, there was no radiopaque material in the left bronchus on follow-up chest radiograph. Discussion: When aspiration of dental materials occurs, flexible fiberoptic can be used in the treatment of FBA. It is also very useful to take preventive management such as rubber dam, application of dental floss in dental procedure where there is high likelihood of FBA.

키워드

참고문헌

  1. 문설경, 이지명, 전해빈, 송주용, 김성경, 이상학 등: A Case of Radiolucent Foreign Body (Temporary Resin Bridge) Aspiration Accompanied by Inflammatory Polyps. Tuberculosis and Respiratory Diseases 2008; 64: 456-9. https://doi.org/10.4046/trd.2008.64.6.456
  2. Cameron S, Whitlock W, Tabor M: Foreign body aspiration in dentistry: a review. J Am Dent Assoc 1996; 127: 1224-9.
  3. Dhanrajani PJ, Swaify GA: Aspiration of a bridge and a tooth. Journal of Cranio-Maxillofacial Surgery 1992; 20: 91-2. https://doi.org/10.1016/S1010-5182(05)80474-3
  4. Donado U, de Miguel P, Casado L, Alfaro A: Fiber optic bronchoscopy in extraction of tracheo-bronchial foreign bodies in adults. Archivos de bronconeumologia 1998; 34: 76-81 https://doi.org/10.1016/S0300-2896(15)30485-3
  5. Lan R, Lee C, Chiang Y, Wang W: Use of fiberoptic bronchoscopy to retrieve bronchial foreign bodies in adults. The American review of respiratory disease 1989; 140: 1734-7. https://doi.org/10.1164/ajrccm/140.6.1734
  6. Limper AH, Prakash UBS: Tracheobronchial Foreign Bodies in Adults. Annals of internal medicine 1990; 112(8): 604-9. https://doi.org/10.7326/0003-4819-112-8-604
  7. Tiwana KK, Morton T, Tiwana PS: Aspiration and ingestion in dental practice: A 10-year institutional review. J Am Dent Assoc 2004; 135: 1287-91.
  8. Ulku R, Baskan Z, Yavuz I: Open surgical approach for a tooth aspirated during dental extraction: A case report. Australian Dental Journal 2005; 50: 49-50. https://doi.org/10.1111/j.1834-7819.2005.tb00085.x
  9. Uskul T, Turker H, Arslan S, Selvi A, Kant A: Use of Fiberoptic Bronchcoscopy in Endobronchial Foreign Body Removal in Adults. Turkish Respiratory Journal 2007; 8: 39-43.
  10. Wilcox CW, Wilwerding TM: Aid for preventing aspiration/ ingestion of single crowns. The Journal of Prosthetic Dentistry 1999; 81: 370-1. https://doi.org/10.1016/S0022-3913(99)70283-0
  11. Zerella JT, Dimler M, McGill LC, Pippus KJ: Foreign body aspiration in children: Value of radiography and complications of bronchoscopy. Journal of Pediatric Surgery 1998; 33: 1651-4. https://doi.org/10.1016/S0022-3468(98)90601-7
  12. Zitzmann NU, Elsasser S, Fried R, Marinello CP. Foreign body ingestion and aspiration. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 1999; 88: 657-60. https://doi.org/10.1016/S1079-2104(99)70004-1