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Extraction of Dental Crowns from the Airway: A Multidisciplinary Approach
Author(s) -
Weber Stephen M.,
Chesnutt Mark S.,
Barton Robert,
Cohen James I.
Publication year - 2005
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/01.mlg.0000161353.45999.dd
Subject(s) - thoracotomy , flexible bronchoscopy , extraction (chemistry) , rigid bronchoscopy , airway , bronchoscopy , medicine , crown (dentistry) , dental extraction , multidisciplinary approach , dentistry , orthodontics , surgery , chromatography , social science , chemistry , sociology
We describe two cases of airway foreign bodies (FB) consisting of a dental crown. The shape and composition of dental crowns complicate their extraction from the tracheobronchial tree, sometimes necessitating thoracotomy. We describe the use of a multidisciplinary approach involving rigid and flexible bronchoscopy in concert with the use of wire snares under fluoroscopic guidance for extraction of these challenging FB. These cases illustrate that this multidisciplinary approach can allow successful extraction of the difficult FB from much of the tracheobronchial tree and the avoidance of thoracotomy.