歯ブラシが側咽頭隙へ達した幼児の口腔内穿通性損傷の1例
Children often play with foreign objects such as a toothbrush in their mouths and sustain intraoral lacerations. Rarely, the objects penetrate into the parapharyngeal space and have to be surgically removed in cooperation with other specialties. We report a case of an intraoral penetration injury ca...
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| Published in | 日本口腔外科学会雑誌 Vol. 55; no. 5; pp. 231 - 235 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.05.2009
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.55.231 |
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| Abstract | Children often play with foreign objects such as a toothbrush in their mouths and sustain intraoral lacerations. Rarely, the objects penetrate into the parapharyngeal space and have to be surgically removed in cooperation with other specialties. We report a case of an intraoral penetration injury caused by a toothbrush entering the parapharyngeal space. A 2-year-old girl who was brushing her teeth before bedtime was intraorally impaled with a toothbrush after falling from an indoor jungle gym for infants. The patient was transferred to the emergency room in our hospital. CT scanning showed the toothbrush head near the internal carotid artery in the parapharyngeal space. Antibiotics were intravenously administered, and the foreign body was removed under general anesthesia, followed by wound suturing. The patient was discharged on the 7 day without any complications such as post-traumatic thrombosis of the internal carotid artery or deep neck abscess. It is important to adequately educate parents and their children about the dangers of a toothbrush as a foreign body that can cause serious penetration injuries. |
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| AbstractList | Children often play with foreign objects such as a toothbrush in their mouths and sustain intraoral lacerations. Rarely, the objects penetrate into the parapharyngeal space and have to be surgically removed in cooperation with other specialties. We report a case of an intraoral penetration injury caused by a toothbrush entering the parapharyngeal space. A 2-year-old girl who was brushing her teeth before bedtime was intraorally impaled with a toothbrush after falling from an indoor jungle gym for infants. The patient was transferred to the emergency room in our hospital. CT scanning showed the toothbrush head near the internal carotid artery in the parapharyngeal space. Antibiotics were intravenously administered, and the foreign body was removed under general anesthesia, followed by wound suturing. The patient was discharged on the 7 day without any complications such as post-traumatic thrombosis of the internal carotid artery or deep neck abscess. It is important to adequately educate parents and their children about the dangers of a toothbrush as a foreign body that can cause serious penetration injuries. |
| Author | 竹内, 憲民 今井, 智章 濱田, 正和 藤田, 祐生 清水, 英孝 道澤, 雅裕 |
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| References | 11) Borland, L.M., Sereika, S.M., et al.: Pulmonary aspiration in pediatric patients during general anesthesia: incidence and outcome. J Clin Anesth 10: 95-102 1998. 14) Caldwell, J.A.: Posttraumatig thrombosis of internal carotid artery: Report of two cases. Am J Surg 32: 522-523 1936. 19) 香西克仁, 山木戸隆子, 他：小児における歯口腔清掃器具の洗浄と保管に関する細菌学的調査. 小児歯誌 9: 751-755 1994. 1) 佐野寿哉, 大石建三, 他：過去10 年間の小児穿通性口腔外傷の臨床的観察. 日口診誌 21: 27-32 2008. 16) 大谷勝記, 荒井宏治：口腔内外傷に続発した内頸動脈閉塞症の1 歳女児例. 日小児会誌 106: 85-88 2002. 10) 佐藤泰則, 中島純子, 他：歯ブラシ刺創後に頬部膿瘍を形成した幼児の1 例. 小児口外 17: 117-120 2007. 8) 工藤典代, 有本友季子：歯ブラシによる小児の口腔・咽頭外傷. 耳喉頭頸 78: 551-553 2006. 21) 武田育子, 松原 篤, 他：口腔内箸異物の2 例. 耳鼻 52: 167-171 2006. 22) 扇内洋介, 山崎 卓, 他：口腔内異物刺創に対する各種画像診断の有用性の検討. 小児口外 10: 82-87 2000. 15) Randall, D.A. and Kang, D.R.: Current management of penetrating injuries of the soft palate. Otolaryngol Head Neck Surg 135: 356-360 2006. 17) 原 恵子, 畠 将晃, 他：口腔内外傷後に続発した内頸動脈閉塞症例. 耳鼻臨床 100: 555-558 2007. 3) 大久保雅基, 横林敏夫, 他：歯ブラシによる幼児の口腔軟組織損傷例の臨床統計的観察. 日口外誌 51: 630-633 2005. 20) 成田憲司, 佐藤 寿, 他：衝突によって生じた口腔粘膜への歯ブラシ刺創の2 例. 小児口外 16: 44-47 2006. 5) Raska, G.M., Cordova, S.W., et al.: Management of penetrating trauma to the soft palate: a case report. J Oral Maxillofac Surg 65: 1279-1285 2007. 6) Sasaki, T., Toriumi, S., et al.: The toothbrush: a rare but potentially life-threatening cause of penetrating oropharyngeal trauma in children. Pediatrics 118: e1284-e1286 2006. 12) Little, J.M., May, J., et al.: Traumatic thrombosis of the internal carotid artery. Lancet 2: 926-930 1969. 4) Hengerer, A.S., DeGroot, T.R., et al.: Internal carotid artery thrombosis following soft palate injuries: a case report and review of 16 cases. Laryngoscope 94: 1571-1575 1984. 9) 足澤美都, 遠藤幹也, 他：歯ブラシによる口腔内外傷後に膿瘍形成した2 幼児例. 小児科臨床 55: 923-926 2001. 18) 太田 亮, 北南和彦, 他：深頸部膿瘍の臨床的検討. 耳鼻 51: 214-219 2005. 13) 刈部 博, 小沼武英, 他：小児外傷性閉塞性脳血管障害の特徴と治療上の課題. 小児の脳神経 32: 8-13 2007. 2) 成田真人, 吉村 元, 他：時間外救急に来院した小児口蓋部損傷の調査. 日口外誌 52: 27-30 2006. 7) 当麻美樹, 高岡 諒, 他：口腔内杙創の臨床的検討. 日臨救医誌 8: 221-230 2005. |
| References_xml | – reference: 3) 大久保雅基, 横林敏夫, 他：歯ブラシによる幼児の口腔軟組織損傷例の臨床統計的観察. 日口外誌 51: 630-633 2005. – reference: 14) Caldwell, J.A.: Posttraumatig thrombosis of internal carotid artery: Report of two cases. Am J Surg 32: 522-523 1936. – reference: 5) Raska, G.M., Cordova, S.W., et al.: Management of penetrating trauma to the soft palate: a case report. J Oral Maxillofac Surg 65: 1279-1285 2007. – reference: 22) 扇内洋介, 山崎 卓, 他：口腔内異物刺創に対する各種画像診断の有用性の検討. 小児口外 10: 82-87 2000. – reference: 4) Hengerer, A.S., DeGroot, T.R., et al.: Internal carotid artery thrombosis following soft palate injuries: a case report and review of 16 cases. Laryngoscope 94: 1571-1575 1984. – reference: 21) 武田育子, 松原 篤, 他：口腔内箸異物の2 例. 耳鼻 52: 167-171 2006. – reference: 7) 当麻美樹, 高岡 諒, 他：口腔内杙創の臨床的検討. 日臨救医誌 8: 221-230 2005. – reference: 15) Randall, D.A. and Kang, D.R.: Current management of penetrating injuries of the soft palate. Otolaryngol Head Neck Surg 135: 356-360 2006. – reference: 18) 太田 亮, 北南和彦, 他：深頸部膿瘍の臨床的検討. 耳鼻 51: 214-219 2005. – reference: 19) 香西克仁, 山木戸隆子, 他：小児における歯口腔清掃器具の洗浄と保管に関する細菌学的調査. 小児歯誌 9: 751-755 1994. – reference: 12) Little, J.M., May, J., et al.: Traumatic thrombosis of the internal carotid artery. Lancet 2: 926-930 1969. – reference: 1) 佐野寿哉, 大石建三, 他：過去10 年間の小児穿通性口腔外傷の臨床的観察. 日口診誌 21: 27-32 2008. – reference: 2) 成田真人, 吉村 元, 他：時間外救急に来院した小児口蓋部損傷の調査. 日口外誌 52: 27-30 2006. – reference: 9) 足澤美都, 遠藤幹也, 他：歯ブラシによる口腔内外傷後に膿瘍形成した2 幼児例. 小児科臨床 55: 923-926 2001. – reference: 20) 成田憲司, 佐藤 寿, 他：衝突によって生じた口腔粘膜への歯ブラシ刺創の2 例. 小児口外 16: 44-47 2006. – reference: 10) 佐藤泰則, 中島純子, 他：歯ブラシ刺創後に頬部膿瘍を形成した幼児の1 例. 小児口外 17: 117-120 2007. – reference: 11) Borland, L.M., Sereika, S.M., et al.: Pulmonary aspiration in pediatric patients during general anesthesia: incidence and outcome. J Clin Anesth 10: 95-102 1998. – reference: 16) 大谷勝記, 荒井宏治：口腔内外傷に続発した内頸動脈閉塞症の1 歳女児例. 日小児会誌 106: 85-88 2002. – reference: 6) Sasaki, T., Toriumi, S., et al.: The toothbrush: a rare but potentially life-threatening cause of penetrating oropharyngeal trauma in children. Pediatrics 118: e1284-e1286 2006. – reference: 8) 工藤典代, 有本友季子：歯ブラシによる小児の口腔・咽頭外傷. 耳喉頭頸 78: 551-553 2006. – reference: 17) 原 恵子, 畠 将晃, 他：口腔内外傷後に続発した内頸動脈閉塞症例. 耳鼻臨床 100: 555-558 2007. – reference: 13) 刈部 博, 小沼武英, 他：小児外傷性閉塞性脳血管障害の特徴と治療上の課題. 小児の脳神経 32: 8-13 2007. |
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| SubjectTerms | 側咽頭隙 歯ブラシ 異物 穿通性損傷 |
| Title | 歯ブラシが側咽頭隙へ達した幼児の口腔内穿通性損傷の1例 |
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