Accidental implant screwdriver aspiration: A case series report with literature review and proposed action protocol.

Pilar Barragán-Reyes, Antonio Mágan-Fernández, Ana Mesa-López, Natalia Calvente-Vera, Manuel Gallardo-Medina, Tomás Muñoz, Francisco Mesa
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Abstract

This article presents the first reported case series of three cases of aspiration of a dental implant screwdriver, which was successfully removed by flexible bronchoscopy. The report highlights preventive measures that can be taken in the dental office and the clinical signs and symptoms of the presence of a dental implant screwdriver in the bronchial tree. The nine reports published to date on this phenomenon are reviewed and compared, and an action protocol for dental practitioners, anaesthetists and pulmonologists is proposed to address this emergency. Some early and late complications are also described.

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意外种植体螺丝刀误吸:一个病例系列报告,文献回顾和建议的处理方案。
这篇文章提出了首次报道的病例系列的三个病例的吸入牙种植螺丝刀,这是成功地去除柔性支气管镜。该报告强调了在牙科诊所可以采取的预防措施,以及牙种植螺丝刀在支气管树中存在的临床体征和症状。对迄今发表的关于这一现象的九份报告进行了审查和比较,并提出了一项针对牙科医生、麻醉师和肺科医生的行动方案,以应对这一紧急情况。还描述了一些早期和晚期并发症。
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