Aspiration of Radiolucent Dentures in Facial Trauma: Case Report

Author:

Chadwell Jon B.1,Mitchell Joshua R.2,Donnino Michael3,Peterson Charles1,Guentert Paul1,Arnold Cliff14,Walsh Mark14

Affiliation:

1. From the Memorial Hospital Trauma Center, South Bend, Ind.

2. Department of Otolaryngology-Head and Neck Surgery, Van-derbilt University School of Medicine, Nashville

3. Department of Emergency and Critical Care Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston

4. Indiana School of Medicine, South Bend Campus

Abstract

Foreign body aspiration is a serious problem that may lead to complications or even death. People who sustain major maxillofacial trauma can often damage their teeth or oral prostheses, and aspiration can occur. Detection of this type of aspiration can be difficult, especially in elderly people wearing dental appliances, since many dental prostheses are not radiopaque and the aspiration is not always recognized at the time of injury. We report a specific case of extensive maxillofacial trauma from a self-inflicted gunshot wound leading to aspiration of large, radiolucent denture fragments, delayed diagnosis, and complications. The possibility of denture fragment aspiration must always be part of the differential diagnosis in an elderly trauma patient presenting with dyspnea, hypoxia or, eventually, pneumonia. This is especially so when radiologic evaluation does not reveal a foreign body, since much dental prosthesis material is radiolucent. Delayed complications of radiolucent dentalprosthesis aspiration could be avoided by the inclusion of some radiopaque material within the acrylic material of the prosthesis.

Publisher

SAGE Publications

Subject

Otorhinolaryngology

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Aspiration of dental items: Case report with literature review and proposed management algorithm;Journal of Stomatology, Oral and Maxillofacial Surgery;2021-10

2. Bronchial dentures as a cause of airway actinomycosis;Case Reports;2014-08-22

3. An Unusual Ingestion in an Older Person: Dentures;Journal of the American Geriatrics Society;2014-02

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