An Avulsed Tooth Detected Prior to Insertion of a Laryngeal Mask Airway

Author:

Asahi Yoshinao1,Hyodo Miho1,Ikai Shoko1,Deki Ikuko2,Aono Akira2,Takasaki Yoshito1,Omichi Shiro2,Uzawa Narikazu3,Niwa Hitoshi4

Affiliation:

1. Department of Dentistry, Morinomiya Hospital, Osaka, Japan

2. Department of Dentistry, Bobath Memorial Hospital, Osaka, Japan

3. Department of Oral and Maxillofacial Surgery II, Osaka University, Graduate School of Dentistry, Suita, Japan

4. Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, Suita, Japan

Abstract

This case report describes the importance of inspecting the hypopharynx via direct laryngoscopy prior to laryngeal mask airway (LMA) insertion during induction of general anesthesia for dental patients with special needs. A 51-year-old man with cerebral palsy underwent induction of general anesthesia for dental extractions and subsequently was noted to be missing a tooth. Prompt inspection of the airway via direct laryngoscopy revealed the tooth resting within the pharynx, which was subsequently retrieved, prior to insertion of the LMA. Visual inspection of the oropharynx and hypopharynx by laryngoscopy prior to LMA insertion can be useful in preventing accidental aspiration and ingestion of foreign bodies, particularly with certain high-risk patients. Use of laryngoscopy should also be considered if an object is lost or possibly impinging upon the airway.

Publisher

American Dental Society of Anesthesiology (ADSA)

Subject

Anesthesiology and Pain Medicine

Reference18 articles.

1. Clinical usefulness of ProSeal laryngeal mask airway for anesthesia during dental procedures in children;Kim;J Pediatr Dent,2015

2. Sandhya Rani DC, Mohan CV. Comparison of three insertion techniques of ProSeal laryngeal mask airway: a randomized clinical trial;Nalini;J Anaesthesiol Clin Pharmacol,2016

3. Drooling, saliva production, and swallowing in cerebral palsy;Senner;Dev Med Child Neurol,2004

4. Pica: unusual intra-oral foreign body discovered after induction in a child;Kituu;Paediatr Anaesth,2012

5. Have you seen my teeth? A case with an extraordinary radiologic finding;Evman;Surg J (N Y),2016

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