치과 치료와 관련된 기도내 이물질 흡인
Foreign body aspiration during dental procedure
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초록
The aim of this study was to investigate risk factor, precaution and treatment of aspirated foreign body during dental procedure. Material and Methods : Twenty cases of accidental aspiration of the foreign body, which removed by bronchoscopy at the Asan Medical Center between 2008 and 2012, were analyzed retrospectively. Results : Ten cases of accidental aspiration were occurred during dental procedure. Symtoms include cough(65%), dyspnea(50%), sputum(25%) and wheezing(25%). The most common location of foreign body was right bronchial tree(50%), left bronchial tree(45%) and carina(5%). Patients risk factors were chronic obstructive pulmonary disease, lung cancer, pulmonary tuberculosis, esophageal cancer and vegetative state. Conclusion : Accidental aspiration or swallowing of dental instrument or material is not uncommon accidents in dental practice. Most foreign bodies enter into gastrointestinal tract spontaneously. But aspiration into broncho-trachea can be more serious events and must be treated as an emergency situation. Prompt emergency treatment and removal of the foreign body is necessary to avoid complication. Dentists must have knowledge about the precaution and be ready to deal with foreign body aspiration during dental procedures.
Abstract
The aim of this study was to investigate risk factor, precaution and treatment of aspirated foreign body during dental procedure. Material and Methods : Twenty cases of accidental aspiration of the foreign body, which removed by bronchoscopy at the Asan Medical Center between 2008 and 2012, were analyzed retrospectively. Results : Ten cases of accidental aspiration were occurred during dental procedure. Symtoms include cough(65%), dyspnea(50%), sputum(25%) and wheezing(25%). The most common location of foreign body was right bronchial tree(50%), left bronchial tree(45%) and carina(5%). Patients risk factors were chronic obstructive pulmonary disease, lung cancer, pulmonary tuberculosis, esophageal cancer and vegetative state. Conclusion : Accidental aspiration or swallowing of dental instrument or material is not uncommon accidents in dental practice. Most foreign bodies enter into gastrointestinal tract spontaneously. But aspiration into broncho-trachea can be more serious events and must be treated as an emergency situation. Prompt emergency treatment and removal of the foreign body is necessary to avoid complication. Dentists must have knowledge about the precaution and be ready to deal with foreign body aspiration during dental procedures.
참고문헌 (30)
- Heimlich HJ, "The Heimlich Maneuver: prevention of death from choking on foreign bodies", J Occup Med, 19(3), pp.208~210 (1977)
- Milton TM, "Ingested foreign bodies associated with orthodontic treatment: report of three cases and review of ingestion", aspiration incident management, 2001, pp.190(11), 592~596
- National Safety Council, "Leading Causes of Death: An Excerpt of Injury Facts", pp.10~15 (2003), National Safety Council Press
- Nakagawa T, "Silent cerebral infarction: a potential risk for pneumonia in the elderly", J Intern Med, 247, pp.255~259 (2000)
- Vergis EN, "Pneumonia in long-term care: a prospective case-control study of risk factors and impact on survival", Arch Intern Med, 161, pp.2378~2381 (2001)
- Zitzmann NU, "Foreign body ingestion and aspiration", Oral Surg Oral Med Oral Pathol Oral Radiol Endod Dec, 88(6), pp.657~660 (1999)
- Zubairi AB, "Foreign body aspiration in adults", Singapore Med J, 47(5), pp.415~418 (2006)
- Debeljak A, "Bronchoscopic removal of foreign bodies in adults: experience with 62 patients from 1974?1998", Eur Respir J, 14(4), pp.792~795 (1999)
- Lan RS, "Non-asphyxiating tracheobronchial foreign bodies in adults", Eur Respir J, 7(3), pp.510~514 (1994)
- Lai YF, "Bronchial foreign bodies in adults", J Formos Med Assoc, 95(3), pp.213~217 (1996)
- Limper AH, "Tracheobronchial foreign bodies in adults", Ann Intern Med, 112, pp.604~609 (1990)
- Zerella JT, "Foreign body aspiration in children: Value of radiography and complications of bronchoscopy", Journal of Pediatric Surgery, 33, pp.1651~1654 (1998)
- Mise K, "Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: experience 1995-2006", Surg Endosc, 23(6), pp.1360~1364 (2009)
- Pingarron Martin L, "Bronchial impaction of an implant screwdriver after accidental aspiration: report of a case and revision of the literature", Oral and maxillofacial surgery, 14, pp.43~47 (2010)
- Al-Rashed MA, "A method to prevent aspiration or ingestion of cast post and core restorations", The Journal of prosthetic dentistry, 91, pp.501~502 (2004)
- Fields RT, Jr, "Aspiration and ingestion of foreign bodies in oral and maxillofacial surgery: a review of the literature and report of five cases"
- Nakajima M, "A method for preventing aspiration or ingestion of fixed restorations", The Journal of prosthetic dentistry, 92, pp.303~ (2004)
- Seals ML, "Pulmonary aspiration of a metal casting: report of case", Journal of the American Dental Association, 117, pp.587~588 (1988)
- Boyd M, "Tracheobronchial foreign body aspiration in adults", South Med J, 102(2), pp.171~174 (2009)
- 박원서, "치과에서의 이물흡인 -증례분석-", 대한치과마취과학회지, 11(1), pp.38~44 (2011), 대한치과마취과학회
- 전종후, "구강내 치료시 연하나 흡입된 이물질의 처치에 관한 치험례", 대한구강악안면성형재건외과학회지, 18, pp.428~434 (1996)
- Susini G, "Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population", Int Endod J, 40(8), pp.585~589 (2007)
- Ulku R, "Open surgical approach for a tooth aspirated during dental extraction: a case report", Aust Dent J, 50(1), pp.49~50 (2005)
- 김규문, "최신 치과치료의 응급처치: 제2판" (1992), 지성출판사
- Obinata K, "An investigation of accidental ingestion during dental procedures", J Oral Sci, 53(4), pp.495~500 (2011)
- Ayed AK, "Foreign body aspiration in children: diagnosis and treatment", Pediatr Surg Int, 19(6), pp.485~488 (2003)
- PingarrOn Martin L, "Bronchial impaction of an implant screwdriver after accidental aspiration: report of a case and revision of the literature", Oral Maxillofac Surg, 14(1), pp.43~47 (2010)
- Sasaki Y, "Two cases of severe motor and intellectual disabilities with dental foreign bodies in digestive tracts", Rinsho Shoni Igaku, 55, pp.41~43 (2007)
- Paksu S, "Foreign body aspiration in childhood: evaluation of diagnostic parameters", Pediatr Emerg Care, 28(3), pp.259~264 (2012)
- Midulla F, "Foreign body aspiration in children", Pediatr Int, 47(6), pp.663~668 (2005)