Accidental aspiration/ingestion of foreign bodies in dentistry: A clinical and legal perspective
Identifieur interne : 006850 ( Ncbi/Merge ); précédent : 006849; suivant : 006851Accidental aspiration/ingestion of foreign bodies in dentistry: A clinical and legal perspective
Auteurs : Rakesh Kumar Yadav [Inde] ; Hemant Kumar Yadav [Inde] ; Anil Chandra [Inde] ; Simith Yadav [Inde] ; Promila Verma [Inde] ; Vijay Kumar Shakya [Inde]Source :
- National Journal of Maxillofacial Surgery [ 0975-5950 ] ; 2015.
Abstract
The potential of foreign body aspiration or ingestion is a worldwide health problem in dentistry. The general dental practitioners should be extremely attentive in handling of minor instruments during any intervention related to the oral cavity, especially in the supine or semi-recumbent position of the patient. Aspiration cases are usually more critical and less common than ingestion. We report a case of iatrogenic aspiration of an endodontic broach, which gets disclosed during the recording of past dental history of the patient. The patient was asymptomatic during that time. A quick posterior-anterior chest radiograph was taken which revealed the presence of broach in the lower lobe of the left lung. The patient was immediately referred to the pulmonary medicine department where the fiberoptic bronchoscope retrieval was planned, and the same was carried out successfully under local anesthesia. Although such accidents have rare occurrence, the associated risks and morbidity are too high to be overlooked, especially from the viewpoint of special care, resources, and the associated financial cost required for their management. Moreover, practitioners are also liable for malpractice litigation given the fact that such cases are avoidable. This article also discusses relevant review literature, risk factors, symptoms, and management of such iatrogenic accidents along with drawing attention to the significance of preventive measures and their role in avoiding meritorious legal and ethical issues.
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DOI: 10.4103/0975-5950.183855
PubMed: 27390487
PubMed Central: 4922223
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sort="Yadav, Rakesh Kumar" uniqKey="Yadav R" first="Rakesh Kumar" last="Yadav">Rakesh Kumar Yadav</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Yadav, Hemant Kumar" sort="Yadav, Hemant Kumar" uniqKey="Yadav H" first="Hemant Kumar" last="Yadav">Hemant Kumar Yadav</name><affiliation wicri:level="1"><nlm:aff id="aff2">Division of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, AII India Institute of Medical Sciences, New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Division of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, AII India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Chandra, Anil" sort="Chandra, Anil" uniqKey="Chandra A" first="Anil" last="Chandra">Anil Chandra</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Yadav, Simith" sort="Yadav, Simith" uniqKey="Yadav S" first="Simith" last="Yadav">Simith 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when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The potential of foreign body aspiration or ingestion is a worldwide health problem in dentistry. The general dental practitioners should be extremely attentive in handling of minor instruments during any intervention related to the oral cavity, especially in the supine or semi-recumbent position of the patient. Aspiration cases are usually more critical and less common than ingestion. We report a case of iatrogenic aspiration of an endodontic broach, which gets disclosed during the recording of past dental history of the patient. The patient was asymptomatic during that time. A quick posterior-anterior chest radiograph was taken which revealed the presence of broach in the lower lobe of the left lung. The patient was immediately referred to the pulmonary medicine department where the fiberoptic bronchoscope retrieval was planned, and the same was carried out successfully under local anesthesia. Although such accidents have rare occurrence, the associated risks and morbidity are too high to be overlooked, especially from the viewpoint of special care, resources, and the associated financial cost required for their management. Moreover, practitioners are also liable for malpractice litigation given the fact that such cases are avoidable. This article also discusses relevant review literature, risk factors, symptoms, and management of such iatrogenic accidents along with drawing attention to the significance of preventive measures and their role in avoiding meritorious legal and ethical issues.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Webb, Wa" uniqKey="Webb W">WA Webb</name></author><author><name sortKey="Mcdaniel, L" uniqKey="Mcdaniel L">L McDaniel</name></author><author><name sortKey="Jones, L" uniqKey="Jones L">L Jones</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Henderson, Ct" uniqKey="Henderson C">CT Henderson</name></author><author><name sortKey="Engel, J" uniqKey="Engel J">J Engel</name></author><author><name sortKey="Schlesinger, P" uniqKey="Schlesinger P">P Schlesinger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Webb, Wa" uniqKey="Webb W">WA 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Natl J Maxillofac Surg</journal-id><journal-id journal-id-type="iso-abbrev">Natl J Maxillofac Surg</journal-id><journal-id journal-id-type="publisher-id">NJMS</journal-id><journal-title-group><journal-title>National Journal of Maxillofacial Surgery</journal-title></journal-title-group><issn pub-type="ppub">0975-5950</issn><issn pub-type="epub">2229-3418</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27390487</article-id><article-id pub-id-type="pmc">4922223</article-id><article-id pub-id-type="publisher-id">NJMS-6-144</article-id><article-id pub-id-type="doi">10.4103/0975-5950.183855</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>Accidental aspiration/ingestion of foreign bodies in dentistry: A clinical and legal perspective</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yadav</surname><given-names>Rakesh Kumar</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Yadav</surname><given-names>Hemant Kumar</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib><contrib contrib-type="author"><name><surname>Chandra</surname><given-names>Anil</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Yadav</surname><given-names>Simith</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Verma</surname><given-names>Promila</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Shakya</surname><given-names>Vijay Kumar</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1">Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</aff><aff id="aff2"><label>1</label>Division of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, AII India Institute of Medical Sciences, New Delhi, India</aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Dr. Rakesh Kumar Yadav, Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India. E-mail: <email xlink:href="rakeshanita10@yahoo.in">rakeshanita10@yahoo.in</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jul-Dec</season><year>2015</year></pub-date><volume>6</volume><issue>2</issue><fpage>144</fpage><lpage>151</lpage><permissions><copyright-statement>Copyright: © 2015 National Journal of Maxillofacial Surgery</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p></license></permissions><abstract><p>The potential of foreign body aspiration or ingestion is a worldwide health problem in dentistry. The general dental practitioners should be extremely attentive in handling of minor instruments during any intervention related to the oral cavity, especially in the supine or semi-recumbent position of the patient. Aspiration cases are usually more critical and less common than ingestion. We report a case of iatrogenic aspiration of an endodontic broach, which gets disclosed during the recording of past dental history of the patient. The patient was asymptomatic during that time. A quick posterior-anterior chest radiograph was taken which revealed the presence of broach in the lower lobe of the left lung. The patient was immediately referred to the pulmonary medicine department where the fiberoptic bronchoscope retrieval was planned, and the same was carried out successfully under local anesthesia. Although such accidents have rare occurrence, the associated risks and morbidity are too high to be overlooked, especially from the viewpoint of special care, resources, and the associated financial cost required for their management. Moreover, practitioners are also liable for malpractice litigation given the fact that such cases are avoidable. This article also discusses relevant review literature, risk factors, symptoms, and management of such iatrogenic accidents along with drawing attention to the significance of preventive measures and their role in avoiding meritorious legal and ethical issues.</p></abstract><kwd-group><kwd>Aspiration</kwd><kwd>foreign body</kwd><kwd>iatrogenic error</kwd><kwd>ingestion</kwd><kwd>malpractice</kwd><kwd>prevention</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Yadav, Rakesh Kumar" sort="Yadav, Rakesh Kumar" uniqKey="Yadav R" first="Rakesh Kumar" last="Yadav">Rakesh Kumar Yadav</name></noRegion><name sortKey="Chandra, Anil" sort="Chandra, Anil" uniqKey="Chandra A" first="Anil" last="Chandra">Anil Chandra</name><name sortKey="Shakya, Vijay Kumar" sort="Shakya, Vijay Kumar" uniqKey="Shakya V" first="Vijay Kumar" last="Shakya">Vijay Kumar Shakya</name><name sortKey="Verma, Promila" sort="Verma, Promila" uniqKey="Verma P" first="Promila" last="Verma">Promila Verma</name><name sortKey="Yadav, Hemant Kumar" sort="Yadav, Hemant Kumar" uniqKey="Yadav H" first="Hemant Kumar" last="Yadav">Hemant Kumar Yadav</name><name sortKey="Yadav, Simith" sort="Yadav, Simith" uniqKey="Yadav S" first="Simith" last="Yadav">Simith Yadav</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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