Postoperative Airway Obstruction by a Bone Fragment

Postoperative airway obstructions are potentially life-threatening complications. These obstructions may be classified as functional (sagging tongue, laryngospasm, or bronchospasm), pathoanatomical (airway swelling or hematoma within the airways), or foreign body-related. Various cases of airway obs...

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Main Authors: Patrick Schober, K. Hakki Karagozoglu, Stephan A. Loer, Lothar A. Schwarte
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2017/4381819
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author Patrick Schober
K. Hakki Karagozoglu
Stephan A. Loer
Lothar A. Schwarte
author_facet Patrick Schober
K. Hakki Karagozoglu
Stephan A. Loer
Lothar A. Schwarte
author_sort Patrick Schober
collection DOAJ
description Postoperative airway obstructions are potentially life-threatening complications. These obstructions may be classified as functional (sagging tongue, laryngospasm, or bronchospasm), pathoanatomical (airway swelling or hematoma within the airways), or foreign body-related. Various cases of airway obstruction by foreign bodies have previously been reported, for example, by broken teeth or damaged airway instruments. Here we present the exceptional case of a postoperative airway obstruction due to a large fragment of the patient’s maxillary bone, left accidentally in situ after transoral surgical tumor resection. Concerning this type of airway obstruction, we discuss possible causes, diagnosis, and treatment options. Although it is an exceptional case after surgery, clinicians should be aware of this potentially life-threatening complication. In summary, this case demonstrates that the differential diagnosis of postoperative airway obstructions should include foreign bodies derived from surgery, including tissue and bone fragments.
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spelling doaj-art-16034f637e99412ebb182aff6b90e5b92025-02-03T06:14:08ZengWileyCase Reports in Anesthesiology2090-63822090-63902017-01-01201710.1155/2017/43818194381819Postoperative Airway Obstruction by a Bone FragmentPatrick Schober0K. Hakki Karagozoglu1Stephan A. Loer2Lothar A. Schwarte3Department of Anesthesiology, VU University Medical Center, De Boelelaan 1117, 1007 MB Amsterdam, NetherlandsAcademic Centre for Dentistry Amsterdam (ACTA) and Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center, De Boelelaan 1117, 1007 MB Amsterdam, NetherlandsDepartment of Anesthesiology, VU University Medical Center, De Boelelaan 1117, 1007 MB Amsterdam, NetherlandsDepartment of Anesthesiology, VU University Medical Center, De Boelelaan 1117, 1007 MB Amsterdam, NetherlandsPostoperative airway obstructions are potentially life-threatening complications. These obstructions may be classified as functional (sagging tongue, laryngospasm, or bronchospasm), pathoanatomical (airway swelling or hematoma within the airways), or foreign body-related. Various cases of airway obstruction by foreign bodies have previously been reported, for example, by broken teeth or damaged airway instruments. Here we present the exceptional case of a postoperative airway obstruction due to a large fragment of the patient’s maxillary bone, left accidentally in situ after transoral surgical tumor resection. Concerning this type of airway obstruction, we discuss possible causes, diagnosis, and treatment options. Although it is an exceptional case after surgery, clinicians should be aware of this potentially life-threatening complication. In summary, this case demonstrates that the differential diagnosis of postoperative airway obstructions should include foreign bodies derived from surgery, including tissue and bone fragments.http://dx.doi.org/10.1155/2017/4381819
spellingShingle Patrick Schober
K. Hakki Karagozoglu
Stephan A. Loer
Lothar A. Schwarte
Postoperative Airway Obstruction by a Bone Fragment
Case Reports in Anesthesiology
title Postoperative Airway Obstruction by a Bone Fragment
title_full Postoperative Airway Obstruction by a Bone Fragment
title_fullStr Postoperative Airway Obstruction by a Bone Fragment
title_full_unstemmed Postoperative Airway Obstruction by a Bone Fragment
title_short Postoperative Airway Obstruction by a Bone Fragment
title_sort postoperative airway obstruction by a bone fragment
url http://dx.doi.org/10.1155/2017/4381819
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AT stephanaloer postoperativeairwayobstructionbyabonefragment
AT lotharaschwarte postoperativeairwayobstructionbyabonefragment