Acta Medica Okayama 68巻 6号
2014-12 発行

Management of Lacerated and Swollen Tongue after Convulsive Seizure with a Mouth Protector: Interprofessional Collaboration Including Dentists in Intensive Care

Yamanaka, Reiko Division of Hospital Dentistry, Central Clinical Department, Okayama University Hospital Kaken ID publons researchmap
Soga, Yoshihiko Division of Hospital Dentistry, Central Clinical Department, Okayama University Hospital ORCID Kaken ID publons researchmap
Moriya, Yoshie Department of Anesthesiology and Resuscitology, Okayama University Hospital
Okui, Akemi Division of Hospital Dentistry, Central Clinical Department, Okayama University Hospital
Takeuchi, Tetsuo Division of Dental Laboratory, Medical Support Department, Okayama University Hospital
Sato, Kenji Department of Anesthesiology and Resuscitology, Okayama University Hospital
Morimatsu, Hiroshi Department of Anesthesiology and Resuscitology, Okayama University Hospital ORCID Kaken ID publons researchmap
Morita, Manabu Division of Hospital Dentistry, Central Clinical Department, Okayama University Hospital ORCID Kaken ID publons researchmap
Publication Date
2014-12
Abstract
We encountered a 74-year-old male patient with tongue laceration after convulsive seizures under intensive care. The tongue showed severe swelling, and the right ventral surface had been lacerated by his isolated and pointed right lower canine. Our university hospital has established a perioperative management center, and is promoting interprofessional collaboration, including dentists, in perioperative management. Dentists collaborating in the perioperative management center took dental impressions, with the support of anesthesiologists who opened the patientʼs jaw under propofol sedation, to produce a mouth protector. By raising the patientʼs bite, the completed mouth protector prevented the isolated tooth from contacting the tongue and protected the lacerated wound. Use of the mouth protector prevented the lacerated tongue from coming into contact with the pointed tooth, and the tongue healed gradually. These findings underscore that interprofessional collaboration including dentists can improve the quality of medical care.
Document Type
Case Report
Keywords
mouth protector
tongue laceration
Link to PubMed
ISSN
0386-300X
NCID
AA00508441
JaLC DOI
DOI:
68_6_375.pdf 3.12 MB