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Impacted denture causing tracheo-esophageal fistula
1Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow.
Summary
An impacted denture caused a rare tracheo-esophageal fistula in a 35-year-old man. Treatment involved subtotal esophagectomy and cervical esophagogastric anastomosis due to severe esophageal stenosis.
Area of Science:
- Gastroenterology
- Otolaryngology
- Thoracic Surgery
Background:
- Impacted foreign bodies in the upper aerodigestive tract can lead to severe complications.
- Tracheo-esophageal fistulas are rare but life-threatening conditions requiring prompt diagnosis and management.
Observation:
- A 35-year-old male presented with an impacted denture.
- The impacted denture resulted in the formation of a tracheo-esophageal fistula.
- Significant local fibrosis and esophageal stenosis were noted distal to the fistula.
Findings:
- The patient was successfully managed with subtotal esophagectomy.
- A cervical esophagogastric anastomosis was performed following the esophagectomy.
- This surgical approach addressed the complex anatomy created by the fistula and stenosis.
Implications:
- This case highlights the potential for dental prostheses to cause severe esophageal and airway complications.
- Subtotal esophagectomy and cervical anastomosis can be an effective treatment for complex tracheo-esophageal fistulas with associated stenosis.
- Early recognition and intervention are crucial for managing such rare but critical conditions.