Punke C, Dommerich S, Pau H W, Kramp B
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf und Halschirurgie "Otto Körner" der Universität, Doberanerstrasse 137-139, 18057, Rostock, Deutschland.
HNO. 2008 Jan;56(1):57-61. doi: 10.1007/s00106-006-1491-7.
Esophageal foreign body impaction is a serious emergency. Diagnostic workup includes an exact history and physical examination as well as several imaging modalities. The extraction of an esophageal foreign body can be done using nonflexible or flexible esophagoscopy. We report on a 43-year-old patient with typical symptoms of esophageal foreign body impaction. The x-ray overview upon admission showed the adjustment wires of one component of a metal denture in the area of the upper esophagus. Extraction by nonflexible esophagoscopy was rendered impossible because parts of the denture had speared themselves into the esophageal wall. Safe and uncomplicated removal was then performed through a lateral pharyngotomy.
食管异物嵌顿是一种严重的急症。诊断检查包括详细的病史和体格检查以及多种影像学检查方法。食管异物的取出可通过硬性或软性食管镜检查来完成。我们报告了一名43岁有典型食管异物嵌顿症状的患者。入院时的X线全景片显示在上段食管区域有一副金属假牙某一组件的调整丝。由于假牙部分刺入食管壁，无法通过硬性食管镜取出。随后通过侧咽切开术安全、顺利地取出了异物。
