�NTERAKT�F OLGU SUNUMU:  Trakeostomili Bir Hastada Dental Protez Aspirasyonu

Atilla, Nurhan; Arpa�, H�seyin; Atilla, �emi; Irmak, Ilim; Beyaz, Ahmet

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�NTERAKT�F OLGU SUNUMU: Trakeostomili Bir Hastada Dental Protez Aspirasyonu [Respir Case Rep]

Respir Case Rep. 2016; 5(1): 1-4 | DOI: 10.5505/respircase.2016.54938

�NTERAKT�F OLGU SUNUMU: Trakeostomili Bir Hastada Dental Protez Aspirasyonu

Nurhan Atilla¹, H�seyin Arpa�¹, �emi Atilla², Ilim Irmak³, Ahmet Beyaz¹
¹Kahramanmara� S�t�� mam �niversitesi, G��s Hastal�klar� Anabilim Dal�, Kahramanmara�
²Kahramanmara� Necip Faz�l �ehir Hastanesi, G��s Hastal�klar� Klini�i, Kahramanmara�
³S�reyya Adanal� Devlet Hastanesi, G��s Hastal�klar� Klini�i, Kahramanmara�

K�rk dokuz ya��nda erkek hasta tekrarlayan pn�moni nedeniyle g��s hastal�klar� yo�un bak�m �nitesine yat�r�ld�. Hasta be� y�l �nce bir trafik kazas� ge�irmi�ti. Bu nedenle kuadriplejikti ve trakeostomi t�p� vard�. Fizik muayenede yayg�n ekspiratuvar ronk�sler ve interkostal �ekilmeleri mevcuttu. Posteroanterior akci�er grafisinde ve toraks bilgisayarl� tomografisinde sa� alt lob atelektazisi ve ayn� zamanda sa� alt lob giri�inde yabanc� cisim saptand�. Yabanc� cismin kazadan hemen sonra �ekilen akci�er grafisinde de mevcuttu. Dental travma muhtemelen ent�basyon s�ras�nda olu�mu�tu. Fiberoptik bronkoskopi ile bak�ld��nda sa� alt lob giri�inde yabanc� cisim oldu�u g�r�ld�. Segment d�zeylere bak�ld��nda ikinci bir yabanc� cisim fark edildi. Yabanc� cisimler �evre dokulara zarar vermeden timsah biyopsi forsepsi ile ��kar�ld�. Herhangi bir komplikasyon olmad�. Yabanc� cisimlerin di� ve protez oldu�u g�r�ld�. Sonu� olarak, travmatik ent�basyon d�hil olmak �zere, y�z ya da di� travmas� ge�iren hastalarda a��z i�i g�zden ge�irilmeli, �zellikle eksik di� varl��nda aspirasyon ihtimali g�z�n�nde bulundurulmal� ve radyolojik de�erlendirme yap�lmal�d�r.

Anahtar Kelimeler: Aspirasyon, di� protezi, fiberoptik bronkoskopi.

INTERACTIVE CASE REPORT: A Case of Dental Prosthesis Aspiration in a Patient with Tracheostomy

Nurhan Atilla¹, H�seyin Arpa�¹, �emi Atilla², Ilim Irmak³, Ahmet Beyaz¹
¹Department of Chest Diseases, Kahramanmara� S�t�� mam University, Kahramanmara�, Turkey
²Clinic of Chest Diseases, Kahramanmara� Necip Faz�l State Hospital, Kahramanmara�, Turkey
³Clinic of Chest Diseases, S�reyya Adanal� State Hospital, Kahramanmara�, Turkey

A 49-year-old male patient was hospitalized to our chest intensive care unit with the diagnosis of recurrent pneumonia. Following a traffic accident five years previously the patient was quadriplegic and had a tracheostomy tube. His physical examination revealed widespread expiratory rhonchi and intercostal retractions. Right lower lobe atelectasis, and also a foreign body at the entrance of the right lower lobe, was seen with a posteroanterior chest x-ray and thoracic computed tomography. We saw that the foreign body was present at the chest x-ray performed immediately after the accident. It is probable that dental trauma occurred during intubation. In a fiberoptic bronchoscopy, a foreign body was identified in the proximal part of the right lower bronchus; a second foreign body was seen at the segment level. The foreign bodies were removed using an alligator biopsy forceps without damaging the surrounding tissue; there were no complications. The foreign bodies were teeth and a dental prosthesis. In conclusion, in patients who have sustained facial or dental trauma, including traumatic intubations, and who have a missing tooth, it must be presumed that the tooth has been aspirated, and radiographic evaluation is needed.

Keywords: Aspiration, dental prothesis, fiberoptic bronchoscopy.

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: Nurhan Atilla, T�rkiye
Makale Dili: �ngilizce

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