Impacted tooth brush in retromolar area: a practical management of difficult airway

Authors

  • Gopendra Prasad Deo Chitwan Medical College, Bharatpur-10, Chitwan
  • Prakash Chandra Majhi Chitwan Medical College, Bharatpur-10, Chitwan

Keywords:

Difficult airway management, impacted tooth brush, Retromolar region.

Abstract

Proper airway management is an important skill for an Anaesthesiologist. This case report deals with airway management performed in a forty five years lady, with impacted tooth brush in the retromolar region on the right side. She was intubated and the foreign body was removed surgically without any peri-operative complications. This case report discusses the complications and management of oropharyngeal injuries by stick-like foreign bodies such as a toothbrush or a chopstick. The article also focuses on basic airway management and some tracheal intubation techniques that may be performed to solve a difficult airway.

Author Biography

Gopendra Prasad Deo, Chitwan Medical College, Bharatpur-10, Chitwan

Department of Anaesthesiology and Critical Care,

Chitwan Medical College, Bharatpur-10, Chitwan, Nepal.

References

1. Thomas SM, Varghese R, Thomas R. Management of difficult airway in a child with impacted toothbrush. Pushpagiri Medical Journal 2011;2(2):41-45.
2. Sagar S, Kumar N, Singhal M, Kumar S, Kumar A. A rare case of life threatening penetrating oropharyngeal trauma caused by toothbrush in a child. J Indian Soc Pedod Prev Dent 2010; 28(2):134-6.
3. Sasaki T, Toriumi S, Asakage T, Kaga K, Yamaguchi D, Yahagi N. The toothbrush: a rare but potentially life-threatening cause of penetrating oropharyngeal trauma in children. Pediatrics 2006;118(4):1284-6.
4. Morrow KS, Clevenger FW. Oropharyngeal impalement on a wrought iron fence. South Med J 1993;86(11):1306-9.
5. Bar T, Zagury A, Nahlieli O, London D, Yoffe B, Bibi H. Delayed signs and symptoms after oropharyngeal trauma in a child. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2002;94(1):15-7.
6. Loh KS, Irish JC. Traumatic complications of intubation and other airway management procedures. Anesthesiol Clin North America 2002;20(4):953-69.
7. Jeffrey lA, Carin AH, Robert AC, Casey DB, Richard TC, David GN et al. American Society of Anesthesiologists: Practice guidelines for management of the difficult airway: An updated report. Anesthesiology 2003;98:1269-77.
8. Rich JM, Mason AM, Ramsay MAE. The SLAM Emergency Airway Flowchart: a new guide for advanced airway practitioners. AANA J 2004;72:431-439.
9 Wilson W. Difficult intubation. In: Atlee J, editor. Complications in Anesthesia. Philadelphia: WB Saunders; 1999. Pp.138-147.
10 Mallampati S. Clinical assessment of the airway. Anesthesiol Clin North Am 1995;13:301-308.

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Published

2014-03-01

How to Cite

Deo, G. P., & Majhi, P. C. (2014). Impacted tooth brush in retromolar area: a practical management of difficult airway. Journal of Society of Anesthesiologists of Nepal, 1(1), 51-54. Retrieved from http://www.jsan.org.np/jsan/index.php/jsan/article/view/pdf_23

Issue

Vol. 1 No. 1 (2014): The Inaugural Issue

Section

Case Report

License

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.