Caso contributivo
Inalazione di corpo estraneo: uno “strano caso”
Foreign body inhalation: a “strange case”
Gian Luca Benetti, Chiara Iozzi, Mario Atzeni
UO di Pediatria, Cecina (Piombino), Azienda USL 6 di Livorno
Gennaio 2015
Abstract
Foreign body inhalation is a quite common event in chil-dhood, especially during the first years of life. It can cau-se complete airway obstruction and asphyxia resulting from a large object lodged in the trachea or larynx, which require real emergency for prompt removal; otherwise or bronchial occlusion that may cause pulmonary or bron-chial non-specific symptoms. In the present case, a 12-year-old boy inhaled a tooth during an epileptic seizure, not accidentally but as a result of an incorrect manoeuvre of his father in an attempt to prevent the tongue blocking the airways. The foreign body caused right lower lobe a-telectasis that resolved after bronchoscopic extraction. The paper points out the importance of health education to parents regarding the management of epileptic seizure in order to avoid such incorrect manoeuvre.
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Suggerite dall'AI
Classificazione MeSH
Bibliografia
- Midulla F, Guidi R, Barbato A, et al. Foreign body aspiration in children. Pediatr Int 2005;47(6):663-8.
- Saki N, Nikakhlagh S, Rahim F, Abshirini H. Foreign body aspirations in infancy: a 20-year experience. Int J Med Sci 2009;6(6):322-8.
- Passŕli D, Lauriello M, Bellussi L, Passali GC, Passali FM, Gregori D. Foreign body inhalation in children: an update. Acta Otorhinolaryngol Ital 2010;30:27-32.
- Lima JA, Fischer GB. Foreign body aspiration in children. Paediatr Resp Rev 2002;3:303-7.
- De Cunto A, Zanchi C, Gregori M, Pelos G, Schleef J, Marchetti F. Atelettasia ed enfisema lobari: due storie e due immagini a confronto. Medico e Bambino 2010;29:446-51.
- Holan G, Ram D. Aspiration of an avulsed primary incisor. A case report. Int J Pediatr Dent 2000;10(2):150-2.
- Salerno T, Cutrera R, Bottero S, Malena S, Bush A. ‘Iatrogenic’ tooth inhalation. Pediatr Pulmonol 2008;43:726.
- Ospina JC, Ludemann JP. Aspiration of an extracted molar: case report. J Can Dent Assoc 2005;71(8):581-3.
- Casap N, Alterman M, Lieberman S, Zeltser R. Enigma of missing teeth in maxillofacial trauma. J Oral Maxillofac Surg 2011;69(5):1421-9.
- Radnai M, Szontágh E, Fazekas A. Prosthetic rehabilitation of an epilepsy patient with dental implants. Case report. Fogorv Sz 2006;99:121-4.
- Sazak H, Yazıcı U, Gülgösteren M, Topçuoğlu G, Ozkan S, Savkılıoğlu E. Iatrogenic aspiration of a large piece of a wooden spoon in a 14-year-old epilepsy patient. Ulus Travma Acil Cerrahi Derg 2011;17(4):359-62.
- Oncel M, Sunam GS, Ceran S. Tracheobronchial aspiration of foreign bodies and rigis bronchoscopy in children. Pediatr Int 2102;54(4):532-5.
- Cavel O, Bergeron M, Garel L, Arcand P, Froehlich P. Questioning the legicitimacy of rigid bronchoscopy as a tool for establishing the diagnosis of a bronchial foreign body. Int J Pediatr Otorhinolaryngol 2012;76(2):194-201.
- Samkani A, Larsen KV, Faber CE, Godballe C. Bronchoscopy should always be performed in children on suspicion of foreign body aspiration. Dan Med J 2013;60(10):A4715.
- Bhat KV, Hegde JS, Nagalotimath US, Patil GC. Evaluation of computed tomography virtual bronchoscopy in paediatric tracheobronchial foreign body aspiration. J Laryngol Otol 2010;124(8):875-9.
- Huang HJ, Fang HY, Chen HC, Wu CY, Cheng CY, Chang CL. Three-dimensional computed tomography for detection of tracheobronchial foreign body aspiration in children. Pediatr Surg Int 2008;24(2):157-60.
- Veras TN, Hornburg G, Schner AM, Pinto LA. Use of virtual bronchoscopy in children with suspected foreign body aspiration. J Bras Pneumol 2009;35(9):937-41.
