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Impacted Toothbrush in the Oropharynx: An Anesthetic Challenge


Affiliations
1 Department of Anaesthesiology, St. John’s Medical College and Hospital, Bengaluru, Karnataka, India
 

Airway management can be challenging in patients with impacted oropharyngeal foreign bodies, especially those with the shafts of the foreign bodies protruding from the mouth. Difficulties may be encountered in airway assessment, mask ventilation, laryngoscopy, and intubation. This may be compounded by the potential for airway obstruction and injury to adjacent neurovascular structures. We report the case of a 20‑year‑old lady who came to the emergency department with a toothbrush impacted in the oropharynx with its handle protruding out of the mouth. The anesthetic management followed to successfully intubate the patient and retrieve the foreign body has been discussed.

Keywords

Airway management, difficult intubation, oropharyngeal foreign body, trismus
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  • Impacted Toothbrush in the Oropharynx: An Anesthetic Challenge

Abstract Views: 127  |  PDF Views: 73

Authors

Surbhi Gupta
Department of Anaesthesiology, St. John’s Medical College and Hospital, Bengaluru, Karnataka, India
Reena Nayar
Department of Anaesthesiology, St. John’s Medical College and Hospital, Bengaluru, Karnataka, India
Rashmi Rani
Department of Anaesthesiology, St. John’s Medical College and Hospital, Bengaluru, Karnataka, India
Usha R. Sastry
Department of Anaesthesiology, St. John’s Medical College and Hospital, Bengaluru, Karnataka, India
Anandajith Kartha
Department of Anaesthesiology, St. John’s Medical College and Hospital, Bengaluru, Karnataka, India

Abstract


Airway management can be challenging in patients with impacted oropharyngeal foreign bodies, especially those with the shafts of the foreign bodies protruding from the mouth. Difficulties may be encountered in airway assessment, mask ventilation, laryngoscopy, and intubation. This may be compounded by the potential for airway obstruction and injury to adjacent neurovascular structures. We report the case of a 20‑year‑old lady who came to the emergency department with a toothbrush impacted in the oropharynx with its handle protruding out of the mouth. The anesthetic management followed to successfully intubate the patient and retrieve the foreign body has been discussed.

Keywords


Airway management, difficult intubation, oropharyngeal foreign body, trismus