Esophageal perforation due to inadvertent swallowing of a dental prosthesis

Tıhan, Deniz; Trabulus, Didem Can; Altunkaya, Aykut; Karaca, Selami; Cıhan, Alper; Alış, Halil

doi:10.4318/tjg.2011.0290

Cited by 12 publications

(15 citation statements)

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“…Sudden throat pain, after swallowing food, drink or drugs, in a person that wears dentures is the most common presenting symptom found in this study [4, 16]. Singh et al [17] and Tihan [11] however reported dysphagia as the most presenting symptom in their patients. Throat pain and dysphagia are actually similar and it may be difficult to differentiate between them unless a person has had some medical training, thus both can be used synonymously by patients.…”

Section: Discussionmentioning

confidence: 58%

“…This is attributable to the rather peculiar nature of the denture as a foreign body which has serrated edges, and has a wire clasp for stabilization and also because of the relatively big size. All these factors predispose to the impaction at the first area of constriction and most of them may not slip further down the esophagus [4, 11, 15]. 85% of the cases of dentures in this study got impacted at the upper oesophagus the remaining 15% got impacted at the middle oesophagus.…”

Section: Discussionmentioning

confidence: 93%

“…On the other hand, denture impactions for deliberate self harm [12], or also in unconscious and subconscious or in people with learning difficulty have been reported [12, 13] The presentation of denture impaction is often dramatic but the diagnosis is straight-forward many times. However, it may sometimes pose a diagnostic challenge [11–13, 16] and at such instances high index of suspicion will be required by both the denture wearer and the clinician. A diagnostic failure of impacted dentures of up to 47% has been reported [12] by Hashmi et al in UK.…”

Section: Discussionmentioning

confidence: 99%

“…This was stated by Okeowo et al [5] in Nigeria over two decades ago. Tihan et al [11] in United States of America reported that 1 out of 5 persons aged 18 - 74 years have partial or total dental prosthesis.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Denture impaction in the oesophagus experience of a young ENT practice in Nigeria

Adedeji¹,

Olaosun²,

Sogebi³

et al. 2014

Pan Afr Med J

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IntroductionThe effect of dental loss and associated desire to restore its function and aesthesis has led to an increase in the number of people wearing dentures. This study therefore reviews the cases of impacted acrylic dentures in the oesophagus.MethodsA retrospective review of patients that were managed for oesophageal denture impaction at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria, over an eight year period from 2005 to 2012.ResultsA total of 14 patients (M: F 2.5: 1). The age ranged from 32 - 75 years. Majority 64.3%) were 51 years and above. Over 70% presented early. Major presenting symptoms were throat pain (100%), odynophageal (92.9%) and dysphageal (78.6%). The radiographic findings were air entrapment (64.3%) and increase in prevertebral soft tissue shadow (78.6%). Majority (87.5%) were impacted at the upper (cervical) oesophagus. Over 78% had successful extraction with rigid oesophagoscopy. Two (14.3%) had spontaneous expulsion of the denture and 1 (7.1%) discharged himself against medical advice. Complications were mucosa tear (28.6%), laryngeal spasm/ airway obstruction (14.3%), mucosa oedema/ erythema (57.1%), neck abscess (7.1%).ConclusionImpaction of esophageal dentures is relatively common in our locality; most patients present early for medical attention and associated with successful rigid oesophagoscopies and denture extraction under GA, and generally good outcome. Education of the wearers of dentures was emphasized as a way of preventing dentures impaction.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 93%