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Ultrasound Guided Thoracoscopic Dental Extraction

Contributors: Rodrigo Ruiz and Adele Brudnicki

We present a minimally invasive approach for removal of an aspirated tooth that was not extractable via rigid / flexible bronchoscopy.  The multimodal technique results in a successful extraction via non-anatomic wedge resection of the affected portion of the lung and thereby obviates the need for a formal lobectomy.

Ultrasound Guided Thoracoscopic Wedge Resection of the lung for aspirated tooth
Extraction of aspirated foreign bodies that are causing pulmonary disease such as pneumonia and are unobtainable via bronchoscopy. May also use the technique for thoracoscopic metastatectomy.
Hemodynamic / respiratory instability. Non echogenic pulmonary lesions
Lateral decubitus
CT scan of Thorax. Rigid / Flexible bronchoscopy.
Optical trocar in 5th intercostal space at mid axillary line. One port on either side of the optical trocar.
Minimally invasive. Targeted resection. Avoids thoracotomy and lobectomy.
Pneumothorax. Staple line failure. Bleeding from staple line.
Pneumothorax. Staple line failure. Bleeding from staple line.
None
S. Pandya, R. Ruiz and A. Brudnicki. Ultrasound guided thoracoscopic dental extraction.American Surgeon. 79(9): 891-2. September 2013. PMID 24069984

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