Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Surg Today. 2011 Sep;41(9):1275-9. doi: 10.1007/s00595-010-4467-x. Epub 2011 Aug 26.
We report three cases of successful surgical removal of a denture with sharp clasps impacted in the cervical esophagus. Patient 1 was a 57-year-old woman institutionalized for over 30 years for schizophrenia, patient 2 was a 62-year-old man hospitalized for brain paralysis, and patient 3 was a 64-year-old man suffering cerebral hemorrhage sequelae. All three patients swallowed a denture accidentally. Chest X-rays showed the denture with sharp clasps in the cervicothoracic region of the esophagus, and endoscopy revealed that it was lodged in the esophageal mucosa. The denture was subsequently removed by cervical esophagotomy. All three patients had a good clinical postoperative course without any complications. Thus, we recommend surgery via a cervical approach to remove a denture with sharp clasps impacted in the cervicothoracic esophagus, with intraoperative endoscopic examination for esophageal injury.
我们报告了三例成功手术切除颈部食管内带锐夹义齿的病例。患者 1 为 57 岁女性，因精神分裂症住院 30 余年；患者 2 为 62 岁男性，因脑瘫住院；患者 3 为 64 岁男性，患有脑出血后遗症。这三位患者均意外吞下了义齿。胸部 X 线片显示带有锐夹的义齿位于颈胸段食管，内镜检查发现义齿嵌顿于食管黏膜。随后通过颈段食管切开术取出义齿。所有患者术后临床过程良好，无任何并发症。因此，我们建议通过颈部入路手术切除颈胸段食管内带锐夹的义齿，并在内镜检查下进行食管损伤的术中检查。
