An unusual surgical complication: Slipped molar lodged in vocal cords and its anesthetic management
Background: Extraction of wisdom tooth is one of the most common surgical interventions, as it is more prone for impaction. Due to the pain and anxiety associated with the procedure, it is common to do this procedure under conscious sedation. However unexpected events do occur during the procedure a...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426824001738 |
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| author | Ameerunnisha begum Ramsesh Manohar Ram Monisha Prasad |
| author_facet | Ameerunnisha begum Ramsesh Manohar Ram Monisha Prasad |
| author_sort | Ameerunnisha begum |
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| description | Background: Extraction of wisdom tooth is one of the most common surgical interventions, as it is more prone for impaction. Due to the pain and anxiety associated with the procedure, it is common to do this procedure under conscious sedation. However unexpected events do occur during the procedure and one such complication along with the prompt management is discussed here. Case report: This case report details an unusual occurrence of a third molar tooth slipping during dental extraction and becoming lodged at the base of the vocal cords. The patient, a 52-year-old man with a history of hypertension, underwent the procedure under conscious sedation. The case report highlights the importance of preparedness and multidisciplinary coordination in managing rare complications during dental procedures under conscious sedation. The accidental aspiration of a molar tooth into the airway required prompt and effective intervention, using dexmedetomidine for sedation, fibre-optic bronchoscopy for visualization, and a range of retrieval instruments. Using video-assisted laryngoscopy and fibre-optic laryngoscopy proved indispensable in locating and safely retrieving the foreign body without resorting to more invasive procedures. Conclusion: This case highlights the importance of anaesthesiologist's role in emergency management and comprehensive preparedness in dental practice. |
| format | Article |
| id | doaj-art-230d7931773a467985f53861b3133f6c |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-230d7931773a467985f53861b3133f6c2025-02-09T05:00:08ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682025-01-011512224An unusual surgical complication: Slipped molar lodged in vocal cords and its anesthetic managementAmeerunnisha begum0Ramsesh Manohar Ram1Monisha Prasad2Department of Anesthesiology and Pain Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 602105, India; Corresponding author. Department of Anesthesiology and pain medicine, Saveetha medical college and hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 602105, India.Department of Anesthesiology and Pain Medicine, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 602105, IndiaCenter for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 602105, India; Corresponding author. Center for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai–602105, India.Background: Extraction of wisdom tooth is one of the most common surgical interventions, as it is more prone for impaction. Due to the pain and anxiety associated with the procedure, it is common to do this procedure under conscious sedation. However unexpected events do occur during the procedure and one such complication along with the prompt management is discussed here. Case report: This case report details an unusual occurrence of a third molar tooth slipping during dental extraction and becoming lodged at the base of the vocal cords. The patient, a 52-year-old man with a history of hypertension, underwent the procedure under conscious sedation. The case report highlights the importance of preparedness and multidisciplinary coordination in managing rare complications during dental procedures under conscious sedation. The accidental aspiration of a molar tooth into the airway required prompt and effective intervention, using dexmedetomidine for sedation, fibre-optic bronchoscopy for visualization, and a range of retrieval instruments. Using video-assisted laryngoscopy and fibre-optic laryngoscopy proved indispensable in locating and safely retrieving the foreign body without resorting to more invasive procedures. Conclusion: This case highlights the importance of anaesthesiologist's role in emergency management and comprehensive preparedness in dental practice.http://www.sciencedirect.com/science/article/pii/S2212426824001738 |
| spellingShingle | Ameerunnisha begum Ramsesh Manohar Ram Monisha Prasad An unusual surgical complication: Slipped molar lodged in vocal cords and its anesthetic management Journal of Oral Biology and Craniofacial Research |
| title | An unusual surgical complication: Slipped molar lodged in vocal cords and its anesthetic management |
| title_full | An unusual surgical complication: Slipped molar lodged in vocal cords and its anesthetic management |
| title_fullStr | An unusual surgical complication: Slipped molar lodged in vocal cords and its anesthetic management |
| title_full_unstemmed | An unusual surgical complication: Slipped molar lodged in vocal cords and its anesthetic management |
| title_short | An unusual surgical complication: Slipped molar lodged in vocal cords and its anesthetic management |
| title_sort | unusual surgical complication slipped molar lodged in vocal cords and its anesthetic management |
| url | http://www.sciencedirect.com/science/article/pii/S2212426824001738 |
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