A Rare Larynx Foreign Body: Dental Prosthesis

Year 2023, Volume: 1 Issue: 2, 61 - 63, 22.06.2023

Serkan Ceyhan

Abstract

Foreign body aspiration in the airway is a condition that may cause severe morbidity and mortality and requires immediate management. General symptoms and signs may include dysphonia, the sensation of a sting in the throat, dysphagia, respiratory stress, tachypnea, wheezing, stridor, and cyanosis. In our case report, the diagnosis and treatment process of the patient who was found to have a foreign body in the larynx is explained. An eighty-seven year-old male patient was consulted due to an increase oral secretion, tachypnea, dysphagia, and a worsening of oral nutrition. A metallic foreign body was observed in the flexible nasopharyngolaryngoscopic examination, and dental prosthesis was determined by radiological imaging. The foreign body was removed with the help of laryngeal forceps under sedation. The healthcare staff should be suspicious of all detachable prostheses, avoid using loosened prostheses, and in certain cases, they should manage the event immediately in patients with risk factors.

Keywords

Larynx, Foreign body, Dental Prosthesis

Supporting Institution

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Nadir Bir Larinks Yabancı Cismi: Diş Protezi

Abstract

Hava yolunda yabancı cisim aspirasyonu ciddi morbidite ve mortaliteye neden olabilen ve acil müdahale gerektiren bir durumdur. Başlıca genel semptom ve bulgular disfoni, boğazda batma hissi, disfaji, solunum sıkıntısı, takipne, hırıltılı stridor ve siyanoz olarak sayılabilir. Olgu sunumumuzda larinkste yabancı cisim saptanan hastanın tanı tedavi süreci anlatılmıştır. 87 yaşında erkek hasta artmış oral sekresyon, takipne, disfaji ve oral beslenmenin bozulması ile tarafımıza konsülte edildi. Yapılan fleksible nazofaringolaringoskopik muayenesinde metalik yabancı cisim görüldü ve radyolojik görüntüleme ile dental protez olduğu tespit edildi. Sedasyon altında bir laringeal forseps yardımı ile yabancı cisim çıkarıldı. Sağlık personeli, çıkarılabilir tüm protezlerden şüphelenmeli, gevşemiş protez kullanmaktan kaçınılmalı ve bazı durumlarda, risk faktörü olan hastalarda olayı acil olarak yönetmelidir.

Keywords

Anahtar Kelimeler: Larinks, Yabanci cisim, Diş protezi, Larynx, Foreign body, Dental Prosthesis

References

• 1) Hada M, Samdhani S, Chadha V, Harshvardhan RS, Prakash M ; Laryngeal foreign bodies among adults. J Bronchology İnterv Pulmonol 2015; 22(2):145-146. DOI: 10.1097/ LBR.0000000000000056
• 2) Türk B, Ünsal Ö, Kaya KS, Coşkun BU. Dislocated dental prothesis sitting at the larynx in an aphasic patient: potential fatal Situation. J Craniofac Surg. 2017;28(7):3655-3657. DOI: 10.1097/SCS.0000000000003795
• 3) Kansara AH, Shah HV, Patel MA, Manjunatharao SV. Unusual case of Laryngeal Foreign Body. Indian J Otolaryngol Head Neck Surg 2007;59(1):63-65. DOİ:10.1007/s12070-007-0019-0
• 4) Cohen SR, Herbert WT, Lewis GB, Geller KA. Five-Year Retrospective Study with Special Reference to Management. Ann Otol Rhinol Laryngol 1980;89: 437-442 DOİ:10.1177/000348948008900513
• 5) Yadav SP, Singh J, Aggarwal N, Goel A. Airway foreign bodies in children: experience of 132 cases. Singapore Med. J. 2007;48(9):850-853. https://pubmed.ncbi.nlm.nih.gov/17728968/