Thoracic Surgery Resident, Section of Thoracic Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Oral & Maxillofacial Surgery Resident, Section of Oral & Maxillofacial Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
J Prosthet Dent. 2023 May;129(5):681-683. doi: 10.1016/j.prosdent.2021.06.052. Epub 2021 Aug 15.
A 60-year-old woman with autism and a repetitive swallowing behavior ingested a removable partial denture that impacted in the proximal esophagus. Attempts at endoscopic removal were unsuccessful. Esophageal perforation was recognized, necessitating emergency transcervical surgical exploration, esophagotomy with foreign body removal, and repair of the esophageal perforation. She had a prolonged postoperative stay involving mechanical ventilatory support and gastric tube feeds. This situation was predictable and preventable, and application of key principles may help avoid such catastrophic incidents in similar patients.
一位 60 岁患有自闭症且有重复吞咽行为的女性吞下了可摘局部义齿，该义齿嵌顿在食管近端。尝试内镜下取出未成功。随后发现食管穿孔，需要紧急经颈部外科探查，行食管切开术取出异物，并修复食管穿孔。她术后住院时间延长，需要机械通气支持和胃管喂养。这种情况是可以预测和预防的，应用关键原则可能有助于避免类似患者发生此类灾难性事件。
