Ari Kaso, Hussain Syed Zohaib Maroof, Mohammad Abdul Wadood, Nassif Ramez
Education, Norfolk and Norwich University Hospital, Norwich, GBR.
Department of Otolaryngology, Head and Neck Surgery, Norfolk and Norwich University Hospital, Norwich, GBR.
Cureus. 2022 Jun 16;14(6):e26002. doi: 10.7759/cureus.26002. eCollection 2022 Jun.
Foreign body ingestion has serious consequences if left untreated. Impacted dentures for a prolonged period can lead to life-threatening complications. Therefore, prompt diagnosis and immediate intervention are lifesaving. Our patient presented to his local accident and emergency department after having swallowed his dentures during a meal. Initial investigations and workup detected no abnormalities and he was discharged back to the community. Twelve weeks following ingestion, he had developed dysphagia and weight loss which prompted an urgent referral for oesophago-gastro-duodenoscopy (OGD). This identified the dentures impacted within the upper oesophagus and initial attempts at removal were unsuccessful, therefore he required hospital admission for alternative feeding in the interim. A joint procedure with the Ear, Nose and Throat and upper gastrointestinal surgeons was carried out to successfully remove the dentures endoscopically. The patient made an immediate recovery, resuming his normal oral diet with appropriate follow up after discharge. It is suspected our patient had an impacted denture for a period of 12 weeks without sustaining any life-threatening complications, which makes this case rather unique. This case highlights the importance of thorough and careful clinical history taking and examination.
如果不进行治疗，异物摄入会产生严重后果。假牙长时间嵌顿可导致危及生命的并发症。因此，及时诊断和立即干预可挽救生命。我们的患者在进食时吞下假牙后前往当地的急诊部门。初步检查和评估未发现异常，他被送回社区。摄入假牙12周后，他出现吞咽困难和体重减轻，这促使他被紧急转诊进行食管-胃-十二指肠镜检查（OGD）。检查发现假牙嵌顿在上段食管，最初的取出尝试未成功，因此在此期间他需要住院接受替代喂养。与耳鼻喉科和上消化道外科医生联合进行了手术，成功地通过内镜取出了假牙。患者立即康复，出院后经适当随访恢复了正常的口腔饮食。据推测，我们的患者假牙嵌顿了12周，没有出现任何危及生命的并发症，这使得该病例相当独特。该病例强调了全面、仔细的临床病史采集和检查的重要性。
