구강내 치료시 연하나 흡입된 이물질의 처치에 관한 치험례
A case report of the management of an ingested or aspirated iatrogenic foreign body during intraoral treatment
류수장, 전종후,
소속 상세정보
류수장 ( ) - 순천향대학교 치과대학 천안병원
전종후 ( ) - 순천향대학교 의과대학 부속병원
KMID : 0360119960180030428
Abstract
The practice of oral surgery or other dentistry possesses the danger of causing the loss of foreign bodies used within the oral cavity. If such foreign bodies would be lost, they could enter the viscera through the esophagus or tracheobroncheal
tree.
Ingestion is four times as frequent as aspiration and 80% to 90% of ingested foreign bodies will pass through the body spontaneously.
Once the aspiration or ingestion of foreign bodies is happened, a dental procedure should be discontinued immediately. If symptoms of respiratory distress, including coughing, wheezing, or stridor, are present, a patent airway should be
maintained,
oxygen administered, and ventilation supported if necessary. The PA chest radiograph will identify the objects in the lung, esophagus, or stomach. Ingested gastrointestinal foreign bodies may be managed by observation, endoscopy, and or surgical
intevention and aspirated tracheobroncheal foreign bodies may be managed by bronchoscopy, and or surgical intervention.
This case report describes the management of ingested or aspirated foreign bodies happened to the three patients during intraoral treatment. We recommend that the preventive method of ingestion or aspiration of the dental foreign bodies should be
performed prior to intraoral treatment and the immedieate measures should be carried out after ingestion or asipiration of it.
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