Abstract
Introduction
Endoscopic extraction is the first choice for removing esophageal foreign bodies, but dentures with complicated sharp clasps that invaginate the esophageal mucosa are difficult to remove endoscopically; surgical management is required for patients who have ingested dentures.
Methods
Seven patients who underwent emergency surgery for dentures with complicated sharp clasps lodged in the cervicothoracic esophagus were enrolled. We describe the surgical management and postoperative courses of these patients.
Results
There were four male and three female patients with an average age of 78.4 years (range 71–84). All cases were difficult to diagnosis by interview because the patients had dementia or schizophrenia. Emergency surgery was performed for seven patients. A skin incision was made along the anterior border of the left sternocleidomastoid muscle. The esophageal wall was opened and the denture was extracted. The esophageal wall was repaired with interrupted sutures. A tracheostomy was constructed in three cases, and bilateral drainage was performed in two cases. However, tracheostomy and bilateral drainage were not necessary, and the subsequent four patients received only left-sided drainage tubes without tracheostomy. All seven patients progressed favorably postoperatively. No ruptured sutures or esophageal stenosis occurred.
Conclusion
The outcomes of all seven patients who underwent surgical denture removal were satisfactory. Tracheostomy and bilateral drainage may not be essential.
Similar content being viewed by others
References
Chaves DM, Ishioka S, Felix VN, et al. Removal of a foreign body from the upper gastrointestinal tract with a flexible endoscope: a prospective study. Endoscopy. 2004;36:887–92.
Li ZS, Sun ZX, Zou DW, et al. Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China. Gastrointest Endosc. 2006;64:485–92.
Chua YK, See JY, Ti TK. Oesophageal-impacted denture requiring open surgery. Singapore Med J. 2006;47:820–1.
von Rahden BH, Feith M, Dittler HJ, Stein HJ. Cervical esophageal perforation with severe mediastinitis due to an impacted dental prosthesis. Dis Esophagus. 2002;15:340–4.
Lai AT, Chow TL, Lee DT, Kwok SP. Risk factors predicting the development of complications after foreign body ingestion. Br J Surg. 2003;90:1531–5.
Khan MA, Hameed A, Choudhry AJ. Management of foreign bodies in the esophagus. J Coll Physicians Surg Pak. 2004;14:218–20.
Katsinelos P, Kountouras J, Paroutoglou G, et al. Endoscopic techniques and management of foreign body ingestion and food bolus impaction in the upper gastrointestinal tract: a retrospective analysis of 139 cases. J Clin Gastroenterol. 2006;40:784–9.
Yan XE, Zhou LY, Lin SR, et al. Therapeutic effect of esophageal foreign body extraction management: flexible versus rigid endoscopy in 216 adults of Beijing. Med Sci Monit. 2014;20:2054–60.
Bandyopadhyay SN, Das S, Das SK, Mandal A. Impacted dentures in the oesophagus. J Laryngol Otol. 2014;128:468–74.
Nwaorgu OG, Onakoya PA, Sogebi OA, et al. Esophageal impacted dentures. J Natl Med Assoc. 2004;96:1350–3.
Dalvi AN, Thapar VK, Jagtap S, et al. Thoracoscopic removal of impacted denture: report of a case with review of literature. J Minim Access Surg. 2010;6:119–21.
Goudra BG, Kronish K, Wong S, Ni J. Intubation difficulties in a patient with an esophageal foreign body. J Clin Anesth. 2014;26:160–1.
Imam SZ, Ikram M, Fatimi S, Iqbal M. Cervical esophagotomy for an impacted denture: a case report. Ear Nose Throat J. 2009;88:833–4.
Samarasam I, Chandran S, Shukla V, Mathew G. A missing denture’s misadventure! Dis Esophagus. 2006;19:53–5.
Stiles BM, Wilson WH, Bridges MA, et al. Denture esophageal impaction refractory to endoscopic removal in a psychiatric patient. J Emerg Med. 2000;18:323–6.
Singh P, Singh A, Kant P, et al. An impacted denture in the oesophagus-an endoscopic or a surgical emergency––a case report. J Clin Diagn Res. 2013;7:919–20.
Toshima T, Morita M, Sadanaga N, et al. Surgical removal of a denture with sharp clasps impacted in the cervicothoracic esophagus: report of three cases. Surg Today. 2011;41:1275–9.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical Statement
This study conforms to the guidelines set forth in the Declaration of Helsinki revised in 2000. We have protected the privacy of the patient, and the manuscript does not include any identifying information.
Conflict of interest
There are no financial or other relations that could lead to a conflict of interest.
Rights and permissions
About this article
Cite this article
Sawayama, H., Miyanari, N., Morita, K. et al. Surgical management of partial dentures in the cervicothoracic esophagus. Esophagus 13, 270–275 (2016). https://doi.org/10.1007/s10388-016-0524-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10388-016-0524-x