Management of foreign body ingestion in children with cerebral palsy: Need for proper trauma management protocol

• Main Authors: Vishnu Prasad, Victor Samuel, Mahesh Ramakrishnan, Dhanalakshmi Ravikumar, N Sharna
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Journal of Family Medicine and Primary Care
• Subjects: Avulsion; cerebral palsy; ingestion; trauma
• Online Access: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2018;volume=7;issue=3;spage=638;epage=641;aulast=Prasad

Cerebral palsy (CP) is described as a group of permanent, nonprogressive movement disorders that cause physical disability in development and further affecting body movement and muscle coordination. The condition develops when certain abnormalities persist inside the developing brain that ultimately disrupts the brain's ability to control movement and maintain posture and balance. Patients with CP are more susceptible to dental trauma due to the lack of muscle coordination and unexpected involuntary movements. The present case series highlights the need for emergency protocol management when these patients report with dental trauma and complications which can happen in dental office. The first case report is about ingestion of permanent incisor following trauma which was diagnosed incidentally in the abdominal radiograph, and the second case is reported to be accidental ingestion of head of dental mouth mirror during the routine oral examination. These two case reports emphasize the need for more comprehensive trauma management protocol in these children.