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患者为严重智力障碍者,误吞局部义齿。

Swallowed partial denture in severe intellectual disability patient.

机构信息

Otorhinolaryngology, National Health Insurance Corporation Ilsan Hospital, Goyang, The Republic of Korea

出版信息

BMJ Case Rep. 2021 Jan 18;14(1):e239945. doi: 10.1136/bcr-2020-239945.

Abstract

Swallowed partial dentures in elderly patients is an emergency situation that requires a swift response. Here, we report a case involving a patient with severe intellectual disability who swallowed his denture, which lodged at the oesophagus inlet. After failure of endoscopic removal, denture with clasp was removed using long forceps through intraoral approach under intravenous sedation. At the pharynx and oesophagus inlet level, removal of foreign body via intraoral approach should be preferentially considered over open surgery for faster patient recovery.

摘要

老年患者误吞局部义齿是一种紧急情况,需要迅速做出反应。在此,我们报告了一例严重智力障碍患者误吞义齿的病例,义齿卡在食管入口处。在尝试内镜取出失败后,我们在静脉镇静下通过口腔内使用长钳夹住义齿的卡环将其取出。对于位于咽和食管入口水平的异物,通过口腔内途径取出应优先考虑,而不是开放性手术,以更快地使患者康复。

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