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, 서광석, 김현정,
소속 상세정보
신터전 ( Shin Teo-Jeon ) - 서울대학교 치의학대학원 치과마취과학교실
서광석 ( Seo Kwang-Suk ) - 서울대학교 치의학대학원 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치의학대학원 치과마취과학교실
KMID : 0980220100100010051
Abstract
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
Foreign bodies; Aspiration; Flexible fiberoptics
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