Abstract
Foreign body ingestion is one of the most common clinical scenarios encountered in emergency medicine. Swallowing is more common than aspiration. Prompt diagnosis and management can prevent morbidity and mortality among these cases. Proper history, careful examination, and early removal of the foreign body are important to minimize the complications. Herein, we reported a 45-year-old male who presented to our emergency department with complaints of missing denture for the past 5 days with progressive dysphagia. X-ray of a soft tissue neck was normal and was not showing any foreign body. Subsequently, the impacted denture was removed using rigid oesophagoscopy. The diagnosis of the denture in the oesophagus may be difficult because of the radiolucency nature of the denture. So strong suspicion should be made by an emergency physician when the patients are presenting with missing dentures. To prevent accidental ingestion, dentures should be made to fit properly. A high clinical index of suspicion is warranted while managing these cases.
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References
Birk M, Bauerfeind P, Deprez PH, Häfner M, Hartmann D, Hassan C, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016;48:489–96.
Adeyemo AA, Ogunkeyede SA. Denture impaction in the oesophagus: correlation of site and duration of impaction with sequelae. Ann Ib Postgrad Med. 2019;17:65–70.
Bandyopadhyay SN, Das S, Das SK, Mandal A. Impacted dentures in the oesophagus. J Laryngol Otol. 2014;128:468–74.
Bj A, Lk T, AJ JM. Dental prosthesis ingested and impacted in the esophagus and orolaryngopharynx. J Otolaryngol. 1998;27:190–4.
Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73:1085–91.
Gachabayov M, Isaev M, Orujova L, Isaev E, Yaskin E, Neronov D. Swallowed dentures: two cases and a review. Ann Med Surg. 2015;4:407–13.
Brandenberg G, Leibrock LG. Dysphagia and dysphonia secondary to anterior cervical osteophytes. Neurosurgery. 1986;18:90–3.
Samargandy S, Marzouki H, Al-Khatib T, Merdad M. Denture impaction causing an upper esophageal diverticulum. Case reports in gastrointestinal medicine. 2019;2019.
Firth AL, Moor J, Goodyear PWA, Strachan DR. Dentures may be radiolucent. Emerg Med J. 2003;20:562–3.
Guelfguat M, Kaplinskiy V, Reddy SH, DiPoce J, DiPoce CJ. Clinical guidelines for imaging and reporting ingested foreign bodies. AJR Am J Roentgenol. 2014;203(1):37–53.
Wang F, Yang N, Wang Z, Guo X, Hui L. Clinical analysis of denture impaction in the esophagus of adults. Dysphagia. 2020;35(3):455–9.
Ma J, Kang DK, Bae J-I, et al. Value of MDCT in diagnosis and management of esophageal sharp or pointed foreign bodies according to level of esophagus. Am J Roentgenol. 2013;201:W707–11.
Loh KS, Tan LK, Smith JD, Yeoh KH, Dong F. Complications of foreign bodies in the esophagus. Otolaryngol-Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg. 2000;123:613–6.
Shreshtha D, Sikka K, Singh CA, Thakar A. Foreign body esophagus: when endoscopic removal fails…. Indian. J Otolaryngol Head Neck Surg. 2013;65:380–2.
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Sabharisan Paramasivam: Conception and design, acquisition of the data or analysis and interpretation of the data; Saranya Thangavel. Drafting the article or revising it critically for important intellectual content. Sunil Kumar Saxena and Arun Alexander: Final approval of the version published. Saranya Thangavel: Agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.
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Paramasivam, S., Thangavel, S., Saxena, S.K. et al. Denture Impaction in the Oesophagus: Treatment Protocol and Review of Literature. SN Compr. Clin. Med. 3, 1755–1758 (2021). https://doi.org/10.1007/s42399-021-00917-0
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DOI: https://doi.org/10.1007/s42399-021-00917-0