Dislocated dental bridge covering the larynx: usefulness of tracheal tube guides under video-assisted laryngoscopy for induction of general anesthesia, thus avoiding tracheostomy

Head & Face Medicine

Yukio Katori¹  Kazuhiro Nomura¹  Shin Kurosawa²  Hiroaki Toyama²  Takahiro Suzuki¹  Hiroshi Hidaka¹ 

[1] Departments of Otolaryngology Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8575, Japan;Department of Anaesthesiology and Intensive Care Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8575, Japan

关键词: Tracheostomy;    Tube introducer;    Dislodgement;    Foreign body;    Dental bridge;   

Others  :  813298
DOI  :  10.1186/1746-160X-10-23

 received in 2014-03-31, accepted in 2014-05-29,  发布年份 2014

【 摘 要 】

Background

To describe a case with dislodgement of dental bridge with clasps covering the vocal cords, in a patient who was successfully intubated using tube exchanger under video-assisted laryngoscopy.

Study design, methods

Clinical case record with a video clip.

Setting

University hospital.

Case presentation

A 83-year-old woman presented with dislodgement of her dental bridge whilst eating. Laryngoscopy revealed a foreign body almost entirely covering the vocal cords, with the clasps of the dislodged partial denture piercing the pharyngeal wall. Before induction of general anesthesia, a tracheal tube introducer combined with video-assisted laryngoscopy was introduced into the trachea in the awake condition, followed by successful endotracheal intubation. Thereafter, the dislodged denture was extracted via the oral cavity.

Conclusions

Tracheal tube introducers combined with video-assisted laryngoscopy appear to be useful for airway management, decreasing the number of avoidable tracheostomies performed.

【 授权许可】

   
2014 Hidaka et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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