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Have You Seen My Teeth? A Case with an Extraordinary Radiologic Finding
Serdar Evman1, Yelda Tezel2, Melis Demirag Evman3
1Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.
Surgery Journal (New York, N.Y.)
|August 22, 2017
Summary
A 55-year-old man experienced sudden dyspnea and hoarseness after syncope. A fractured dental plate was found obstructing his airway and successfully removed via bronchoscopy.
Area of Science:
- Emergency Medicine
- Pulmonology
- Otolaryngology
Background:
- Syncope can precipitate serious airway emergencies.
- Foreign body aspiration is a critical cause of acute respiratory distress.
Observation:
- A 55-year-old male presented with severe dyspnea and hoarseness post-syncope.
- Physical exam revealed stridor and wheezing; laryngoscopy was normal.
- Imaging identified a high-density foreign body at the carina obstructing the right main bronchus.
Findings:
- The foreign body was identified as a fractured dental plate, likely aspirated during syncope.
- Rigid bronchoscopy successfully removed the aspirated dental plate.
- The patient had an uneventful recovery and was discharged the same day.
Implications:
- Prompt radiologic and physical examination is crucial for diagnosing airway foreign bodies.
- Timely intervention can prevent mortality in cases of acute airway obstruction.
- Dental foreign body aspiration is a preventable complication during syncopal episodes.
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