Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations

Autor: Thibault Canceill, Rémi Esclassan, Mathieu Marty, Marie-Cécile Valera, Estelle Trzaskawka-Moulis, Emmanuelle Noirrit-Esclassan
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Dentistry, Vol 2019 (2019)
Druh dokumentu: article
ISSN: 2090-6447
2090-6455
DOI: 10.1155/2019/8495739
Popis: Tooth inhalation remains a rare incident but it may occur during dental care, especially in children. We report here the case of a four-year-old boy with Down syndrome who came to the hospital after a dental trauma. During the extraction procedure, he aspired his maxillary incisor without presenting any signs of respiratory distress and was discharged by the surgical team, who thought that he had swallowed the tooth. Three weeks later, he was admitted to the emergency service because of a pulmonary infection. Two endoscopy interventions under general anesthesia were necessary to recover the foreign body inside the left lung. Because of the multiple symptoms associated with the trisomy 21 syndrome (general hypotonia, impaired immunity, etc.), practitioners should be very mindful of aspiration risks and complications during dental care. The systematic prescription of lung radiography would prevent the onset of pulmonary infections and enable an earlier intervention.
Databáze: Directory of Open Access Journals
Externí odkaz: