Witnessed seizure and cardio-respiratory arrest. No history of trauma. He was admitted to ICU. Missing tooth noted after intubation.
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Lateral neck x-ray: Partially visualized proximal aspect of nasogastric and endotracheal tubes.
There is a shadow of a tooth seen in the region of oropharynx between both tubes at the level of C2 (arrow).
Multiple loose upper jaw teeth with defect between the teeth noted.
Multilevel degenerative changes of the cervical spine.
Foreign body aspiration is more common in children. Tooth aspiration is more common post-traumatic and intubation. It is a critical finding requiring radiologists to inform the referring physician immediately.
In this case, the tooth was removed under laryngoscopy. Tooth # 14 was extracted at the bedside to avoid the risk of re-aspiration.