E-ISSN 2149-2530
Case report
TOOTH ASPIRATION IN A PATIENT WITH TRAUMATIC BRAIN INJURY
1 First Department of Critical Care and Pulmonary Services, University of Athens Medical School, Evangelismos Hospital, Athens, Greece  
Turk Thorac J ; 5: -
DOI: 10.5152/TurkThoracJ.2019.180193
Key Words: aspiration, bronchoscopy, tooth, traumatic brain injury
Abstract

Tooth aspiration can infrequently complicate the course of patients with trauma and may be undiagnosed for long, thus resulting in late complications such as atelectasis and recurrent infections. Flexible bronchoscopy is considered the preferred initial procedure for management of airway foreign bodies in adults. However, in trauma patients with concomitant head injuries, fiberoptic bronchoscopy might lead to intracranial hypertension.

 

We herein report a case of aspirated tooth in a patient with traumatic brain injury removed by flexible bronchoscopy, while intracranial pressure (ICP) was continuously monitored. It highlights the importance of thorough review of radiographs and chest CTs for foreign body aspiration in trauma patients, especially maxillofacial trauma, as it may remain undiagnosed for long. Moreover, it serves as a reminder of the difficulty in maintaining the ICP within normal limits during bronchoscopy in patients with traumatic brain injury and highlights the need for continuous monitoring of cerebral hemodynamics and harmonization with the recommendations for bronchoscopy via an endotracheal tube.

 

Cite this article as: Pantazopoulos I, Kokkoris S, Routsi C. TOOTH ASPIRATION IN A PATIENT WITH TRAUMATIC BRAIN INJURY. Turk Thorac J 2019; DOI: 10.5152/TurkThoracJ.2019.180193

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