Three Cases of Dental Airway Foreign Bodies in the Elderly

DOI
  • Otsu Yukiko
    Department of Respiratory Medicine, Yamato Municipal Hospital
  • Matsumoto Yutaka
    Department of Respiratory Medicine, Yamato Municipal Hospital
  • Inoue Satoshi
    Department of Respiratory Medicine, Yamato Municipal Hospital
  • Kata Yuki
    Department of Respiratory Medicine, Yamato Municipal Hospital
  • Mikami Naoto
    Department of Respiratory Medicine, Yamato Municipal Hospital
  • Takayasu Hirokazu
    Department of Respiratory Medicine, Yamato Municipal Hospital

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  • 高齢者における歯科領域関連の気道異物の3例

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Abstract

<p>Background. Recently, the number of cases of dental airway foreign bodies in the elderly has been increasing. Cases.Case 1: An 80-year-old man aspirated a metal core during dental treatment. We were able to successfully remove it with flexible bronchofiberscopy using biopsy forceps. Case 2: A 79-year-old man was hospitalized for cerebral infarction. During hospitalization, he developed aspiration pneumonia, and we incidentally identified a fused tooth on an imaging examination. We removed it with an endoscope using a gastrointestinal endoscope and large biopsy forceps. Case 3: A 76-year-old man developed a cough after dental treatment, and we found a foreign body on an imaging examination. A dental crown was identified, and the flat portion of it was grasped with W-shaped forceps in the short-axis direction and extracted. Conclusion. We recommend imaging examinations if dental airway foreign bodies are suspected, as they have few clinical symptoms, especially in the elderly. It is necessary to understand the location and shape of the foreign body and to then use an appropriate device after preparing many devices. Weakly fixed teeth, dentures, or crowns that may become spontaneously dislodged should be treated as soon as possible.</p>

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