@article{oai:dmu.repo.nii.ac.jp:00005009,
 author = {Iwasaki, Akimitsu and Tochigi, Kosuke and Umibe, Akiko and Nishijima, Yoshikata and Anazawa, Utaro and Sakamoto, Hikaru and Akiyoshi, Ryohei and Omura, Kazuhiro and Tanaka, Yasuhiro},
 issue = {2},
 journal = {Dokkyo Journal of Medical Sciences},
 month = {Jul},
 note = {Toothbrush trauma is a condition often encountered in the emergency department, sometimes resulting in serious complications requiring appropriate treatment. We present the case of an 11-year-old boy who visited the emergency department with a toothbrush inserted in the left palatal arch. Contrast-enhanced CT was performed to confirm that the tip of the toothbrush had not reached the carotid artery, skull base, or cervical spine and predict any secondary damage after the removal. Local anesthesia was administered by submucosal injection, and the toothbrush was manually removed with the patient in the awake state. After removal of toothbrush, the patient was hospitalized. Then, dietary control was started, and antibiotics were administered to prevent wound infection. He was discharged at 5 day after injury and observed for 14 days to rule out stenosis of the internal carotid artery. The wound healed without any complications. In cases of a toothbrush penetrating the pharyngeal space, it is, therefore, necessary to select an appropriate removal method after predicting the complications caused by removal. The post-removal treatments should be considered to avoid complications such as uncontrolled bleeding, infection, and internal carotid artery stenosis.},
 pages = {91--96},
 title = {A Case of Toothbrush Trauma Removed in the Awake State and Healed without Complications},
 volume = {48},
 year = {2021}
}