title: Dislocated dental bridge covering the larynx: usefulness of tracheal tube guides under video-assisted laryngoscopy for induction of general anesthesia, thus avoiding tracheostomy.
abstract: BACKGROUND
  To describe a case with dislodgement of dental bridge with clasps covering the vocal cords, in a patient who was successfully intubated using tube exchanger under video-assisted laryngoscopy.
  Clinical case record with a video clip.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 83-year-old woman presented with dislodgement of her dental bridge whilst eating. Laryngoscopy revealed a foreign body almost entirely covering the vocal cords, with the clasps of the dislodged partial denture piercing the pharyngeal wall. Before induction of general anesthesia, a tracheal tube introducer combined with video-assisted laryngoscopy was introduced into the trachea in the awake condition, followed by successful endotracheal intubation. Thereafter, the dislodged denture was extracted via the oral cavity.
  
  
  CONCLUSIONS
  Tracheal tube introducers combined with video-assisted laryngoscopy appear to be useful for airway management, decreasing the number of avoidable tracheostomies performed.
authors.affiliation: Departments of Otolaryngology Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8575, Japan. ZAY00015@nifty.com.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Hidaka
authors.forename: Takahiro
authors.initials: T
authors.lastname: Suzuki
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Toyama
authors.forename: Shin
authors.initials: S
authors.lastname: Kurosawa
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Nomura
authors.forename: Yukio
authors.initials: Y
authors.lastname: Katori
mesh_terms: D000369:Aged, 80 and over; D000768:Anesthesia, General; D003829:Denture, Partial / Q000009:adverse effects*; D005260:Female; D005547:Foreign Bodies / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D007830:Larynx; D014139:Tracheostomy; D020535:Video-Assisted Surgery