Dental injury is one of the most common complications of tracheal intubation. Although teeth dislodged during tracheal intubation are usually found in the oral cavity, we encountered a case of a missing tooth found in the nasal cavity in an intubated patient. A 62-year-old man with 4 loose teeth in the upper jaw was scheduled for laparoscopic hernia repair. After our second attempt at insertion of a nasogastric tube via the left naris, we discovered that a tooth had been dislodged. A lateral-view radiograph revealed the dislodged tooth in the nasal cavity. The ectopic tooth was removed by an otorhinolaryngologist.
From the Department of Anesthesiology, Kawasaki Municipal Hospital, Kanagawa, Japan.
Accepted for publication November 5, 2018.
The authors declare no conflicts of interest.
Address correspondence to Yoshimune Osaka, MD, PhD, Department of Anesthesiology, Kawasaki Municipal Hospital, 12-1 Shinkawa St, Kawasaki-ku, Kawasaki City, Kanagawa 210-0013, Japan. Address e-mail to email@example.com.