Careaga RG, Alfaro GF, Argüero SR

Language: Spanish
References: 7
Page: 26-28
PDF size: 79.82 Kb.

ABSTRACT

Background and objective: The increase in the practice of oral piercing has increased the potential for morbidity, including aspiration into the airways.
Case report: A 17 year old male aspirated a lingual piercing into the airway, confirmed by clinical, radiological and endoscopical examination. The patient required a bronchotomy to retrieve the metallic foreign body from the right intermediate bronchus. He is in good condition three years later.
Conclusion: The widespread practice of oral piercing carries the risk of aspiration of a foreign body into the airways. Clinical suspicion, diagnosis and treatment should be prompt.

REFERENCES

1. López-Jornet P, Camacho-Alonso F, Pons-Fuster JM. A complication of lingual piercing: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99:E18-E19.

2. Schwemmer U, Lintner M, Greim CA. Oral piercing: risk of aspiration. Eur J Anaesthesiol 2005;22:727-729.

3. Kloppenburg G, Maessen JG. Streptococcus endocarditis after tongue piercing. J Heart Valve Dis 2007; 16:328-330.

4. Sundaresan S. Acute airway obstruction. In: Yang SC, Cameron DE, editors. Current therapy in thoracic and cardiovascular surgery. USA:Mosby;2004.p.74-75.

5. Miller JL. Rigid bronchoscopy. Chest Surg Clin N Am 1996;6:161-167.

6. Zadik Y, Becker T, Levin L. Intra-oral and peri-oral piercing. Refuat Hapeh Vehashinavim 2007;24:29-34.

7. Trachsel D, Hammer J. A vote for inhaled adrenaline in the treatment of severe upper airway obstruction caused by piercing of the tongue in hereditary angioedema. Intensive Care Med 1999;25:1335-1336.