Retrieval of aspirated teeth in an adult polytrauma patient using pediatric flexible fiberoptic bronchoscopy allied with endoscopic rat tooth alligator jaw grasping forceps

Abstract

Foreign body (FB) aspiration in maxillofacial injuries is a life-threatening event. A long-time interval between the aspiration and retrieval results in the formation of granulation tissue and mucosal inflammation around the FB, which could restrict the visual field of bronchoscopy and its retrieval. In addition, it can affect the lung structure with fatal complications. Herein, we present a case of unique FB retrieval (2 joined crown teeth – measuring 19 mm) within 8 h following aspiration in a 24-year-old male polytrauma victim. Further, we discuss our successful modified retrieval technique accordingly without resulting in any complications.

Keywords

• computed tomography
• endotracheal tube
• flexible fiberoptic bronchoscopy
• foreign body
• pediatric flexible fiberoptic bronchoscopy
• rat tooth alligator jaw