Denture Impaction in the Oesophagus: Treatment Protocol and Review of Literature

Paramasivam, Sabharisan; Thangavel, Saranya; Saxena, Sunil; Alexander, Arun

doi:10.1007/s42399-021-00917-0

Cited by 1 publication

(4 citation statements)

References 11 publications

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“…Impaction of dentures or any other foreign body in the gastrointestinal tract can result in angulations, stenoses, and constrictions. 7 The constriction of the esophagus due to denture impaction plays a major role in the clinical presentation of this problem. Both removable and fixed dentures can be ingested.…”

Section: Impaction Sitementioning

confidence: 99%

“…The oral exam can provide evidence of a missing denture and possibly additional information on the shape and size of the ingested denture. 7 The value of an oral examination is even higher among patients with psychiatric or neurological disorders.…”

Section: Assessment and Diagnosismentioning

confidence: 99%

“…The other two approaches to managing denture ingestion are endoscopy and surgery. 7 Endoscopy, the modality of choice, is not always possible. Endoscopy should not be performed if the removal of the denture presents a high risk and when there is evidence of either primary or secondary complications.…”

Section: Treatmentmentioning

confidence: 99%

“…The problem is that the popular acrylic dentures are radiolucent and may not be easily detected using standard X-ray. 7 Moreover, if the dentures are made up of radiopaque elements such as metal clasps, they may be completely overlooked. Thus, in cases where the patient's symptoms persist even after a non-diagnostic X-ray or an insignificant oral exam, it is imperative to carry out direct visualization in conjunction with otolaryngology.…”

mentioning

confidence: 99%

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Accidental swallowing of dentures: case report and literature review

Hussain

Slattery²,

Munir³

2022

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Unintentional ingestion of dentures is relatively common. Several factors have been implicated in increasing the risk of accidental denture swallowing including neurological impairments, dementia, cerebral hemorrhage, intoxication, and learning difficulties. This paper will aim to discuss a case and review the literature on accidental ingestion of dentures. The paper involved reviewing a case of accidental denture ingestion by a 34-year-old male patient. The patient ingested his dentures while eating ice cream. He displayed no signs of respiratory distress and reported difficulty ingesting solids, nausea, and a feeling of something lodged in his throat. X-rays revealed an increase in the anteroposterior diameter prevertebral space. The dentures were removed by direct laryngoscopy with the aid of optical foreign body removal forceps.<strong> </strong>The case and the literature review revealed that denture ingestion can occur when engaging in high-risk activities such as falls, eating, anesthesia, drinking, and sleeping. The site of denture impaction determines the signs and symptoms that the patient will present. Complications associated with denture impaction may include necrosis, bleeding, perforation, and obstruction. Assessing the patient involves considering psycho-neurological deficits, the possibility of mental health problems, oral assessment, the nature and dimensions of the ingested denture, and the presence of complications. Treatment typically involves wait-and-watch, endoscopy, or surgery. Accidental ingestion of dentures can constitute a medical or airway emergency that should be managed promptly. The management of such patients should involve considerations of the site of ingestion and the possibility of complications.</p>

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Section: Impaction Sitementioning

confidence: 99%

Section: Assessment and Diagnosismentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

mentioning

confidence: 99%

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