Forgotten Denture in a Hemiplegic Patient

Kim, Hyosang; Kim, Chang-Hwan; Kim, Myeong-Ok; Joa, Kyung-Lim; Chung, Hyung Jin; Jung, Han Yong

doi:10.1097/phm.0b013e3182a92f2f

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…In conclusion, a thorough and attentive history taking is needed to diagnose denture ingestion, especially if the patient has limited ability to communicate [8]. For example, we would not have become aware of the second denture if we hadn't taken additional history the day after admission, and the patient's family had not informed us that she had lost two dentures.…”

Section: Resultsmentioning

confidence: 99%

Two swallowed dentures found in the hypopharynx and rectum of an elderly Japanese woman simultaneously

Yamamoto

Shinohara

Harada

et al. 2017

Acta Oto-Laryngologica Case Reports

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The aging Japanese population has led to an increase in the number of accidentally swallowed dentures. Therefore, we report the case of an elderly Japanese woman with dementia who accidentally and sequentially swallowed two dentures. The patient presented to our hospital with a diagnosis of a single impacted denture in her hypopharynx although we subsequently identified a second impacted denture in her rectum after taking a careful clinical history. Open surgery was required to remove the second denture from her rectum. This case highlights the importance of carefully considering the patient's history if there is a possibility of latent swallowed dentures.

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Section: Resultsmentioning

confidence: 99%

Two swallowed dentures found in the hypopharynx and rectum of an elderly Japanese woman simultaneously

Yamamoto

Shinohara

Harada

et al. 2017

Acta Oto-Laryngologica Case Reports

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“…In the diagnosis of denture ingestion thorough and attentive history taking is important [23] . However, not always patients are mentally or neurologically competent to notice, remember or accent the fact of denture ingestion or at least suspicion to that.…”

Section: Discussionmentioning

confidence: 99%

Swallowed dentures: Two cases and a review

Gachabayov

Isaev

Orujova

et al. 2015

Annals of Medicine &Amp; Surgery

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IntroductionDenture ingestion or aspiration is a problem requiring awareness of different specialists including dentists, surgeons, otolaryngologists, anesthesiologists etc. in terms of prevention, early diagnosis and adequate treatment. Complications of swallowed dentures include hollow viscus necrosis, perforation, penetration to neighbor organs leading to fistulae, bleeding and obstruction.Presentation of casesFirst case is a 54-year-old female who accidentally swallowed retractable one-tooth denture during fall about 22 h before admission and clinical manifestation of acute small bowel obstruction developed. The patient underwent laparotomy, enterotomy with retrieval of the foreign body. The second case is a 31-year-old male who accidentally ingested fixed one-tooth prosthesis while eating which impacted in the ileocaecal valve. During the preparation to colonoscopy the denture spontaneously passed out with stools.DiscussionDenture ingestion is more common among patients with psychoneurologic deficit, alcohol and drug abusers. Among healthy and younger population denture ingestion is rare. Both reported patients are not elder. Thus dislodgement of removable or fixed dentures is another risk factor of denture ingestion. Most common site of denture impaction is esophagus; small bowel impaction is rare. Moreover, in most reported cases, small bowel impaction of ingested dentures leads to small bowel perforation. In our first case the complication of denture ingestion appeared to be bowel obstruction what is even rarer.ConclusionFixed dentures can be accidentally ingested as well as removable dentures. Denture loosening leads to accidental denture ingestion. Patients with denture loosening should be recommended to visit dentist as soon as possible.

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“…In that case, the denture was identified after video fluoroscopy. Recovery was rapid after the denture had been removed via rigid endoscopy 1. The finding of swallowed dentures or a partial denture is more common in the paediatric population or in those with cognitive impairment.…”

Section: Discussionmentioning

confidence: 99%

Dysphagia, dysphonia and sore throat following cerebral infarction: an unexpected cause

Slade

Larsen

2015

BMJ Case Reports

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A 75-year-old woman presented with left-sided weakness. There was no speech disturbance or reported swallowing difficulties. CT of the head revealed infarction in the territory of the right middle cerebral artery. The patient was transferred to the acute stroke unit and a nasogastric tube was placed following a failed swallow screening test. The following day, on assessment, there was considerable pain on swallowing. The tone and quality of the patient's voice had deteriorated and there was significant dysphagia. Seven days later a plastic item, later identified as the patient's denture, was expectorated. Following this, the dysphagia, dysphonia and sore throat rapidly resolved. The case highlights the importance of considering foreign body in the differential, and oral cavity examination in the assessment of a patient with dysphagia and sore throat is essential.

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Forgotten Denture in a Hemiplegic Patient

Cited by 4 publications

References 11 publications

Two swallowed dentures found in the hypopharynx and rectum of an elderly Japanese woman simultaneously

Two swallowed dentures found in the hypopharynx and rectum of an elderly Japanese woman simultaneously

Swallowed dentures: Two cases and a review

Dysphagia, dysphonia and sore throat following cerebral infarction: an unexpected cause

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