Fatal Complication from Swallowed Denture Following Prolonged Endotracheal Intubation

Kroesen, Gunnar; Haid, B

doi:10.1213/00000539-197605000-00037

Cited by 5 publications

(1 citation statement)

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“…There have been documented cases of iatrogenic foreign bodies in the UADT in both dentistry9 and anaesthesia, including teeth,10 a latex glove11 and a denture that was aspirated into the larynx on intubation, in a case of bilateral maxillary fractures, which sadly ended in fatality after extubation 12. A 15-year review of 83 cases of aspirated dentures identified that in 12 (14%) cases the dentures were found in the hypopharynx or larynx, and in 6 (7%) cases the dentures were aspirated during general anaesthetic 3…”

Section: Discussionmentioning

confidence: 99%

Dentures discovered in larynx 8 days after general anaesthetic

Cunniffe¹

2019

BMJ Case Rep

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An active 72-year-old man presented to the accident and emergency department (A&E) with odynophagia, dysphagia and haemoptysis 6 days after a minor operation and was discharged after treatment for an aspiration pneumonia. He presented to A&E 2 days later with worsening symptoms and was found to have dentures lodged in his larynx which were then removed in theatre. For 6 weeks after removal, he had periodic episodes of frank haemoptysis requiring multiple blood transfusions and, after extensive investigation, was found to have an erosion into an arterial vessel on his right parapharyngeal wall, just posterior to the glossopharyngeal sulcus. This case raises questions about perioperative care in patients with dentures, diagnostic decision-making in the emergency care setting and postoperative care after delayed removal of foreign bodies from the upper aerodigestive tract.

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