Foreign body in airway secondary to maxillofacial injury

Sussan Alely Urbina Rosas; López Castillo Norma Patricia; José Carlos Hernández Pedroza; Alan Arturo Flores Oidor; Fredy Méndez Ojeda; Fernando Antonio Higuera Aguilar; Miguel Ángel Sosa Medellín; Fortino Galicia Espinoza; Carlos Alberto Sánchez Soto; Juan Francisco León Del Ángel; Diego Octavio Valenzuela Couret

2023, Number 4

Med Int Mex 2023; 39 (4)

Foreign body in airway secondary to maxillofacial injury

Urbina RSA, López CNP, Hernández PJC, Flores OAA, Méndez OF, Higuera AFA, Sosa MMÁ, Galicia EF, Sánchez SCA, León ÁJF, Valenzuela CDO

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Language: Spanish
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ABSTRACT

Background: Foreign bodies in the airway are a potentially fatal event associated with multiple complications.
Clinical case: A 48-year-old male patient who was admitted to the intensive care unit of the Hospital de Traumatología y Ortopedia No. 21, Monterrey, Mexico, due to a car accident with a fracture of the left mandibular branch and detachment of a dental piece with location in the hypopharynx, with posterior displacement to the right bronchus in the context of an intubated patient with sedation, factors that contributed to the event of foreign body aspiration in the airway. It was successfully performed with timely flexible bronchoscopy, with subsequent successful extubation and prevention of associated complications.
Conclusions: The importance of this case report lies in the peculiarity of the manifestation and the association of conditions that predispose this event, as well as the relevance in the diagnosis and treatment, since it is described that the timely performance of flexible bronchoscopy in the adult population is associated with a higher success rate.

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