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Oesophageal-impacted denture requiring open surgery.

Y K D Chua¹, J Y See, T K Ti

¹Department of Otolaryngology, Changi General Hospital, 2 Simei Street 3, Singapore 529889. dennis.chua.yk@gmail.com

Singapore Medical Journal

|August 23, 2006

Summary

A patient successfully had an impacted denture removed from the esophagus via cervical esophagotomy after endoscopic removal failed. This surgical approach offers a safe alternative for complex esophageal foreign body cases.

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Area of Science:

Gastroenterology
Otolaryngology
Surgical Procedures

Background:

Foreign bodies in the esophagus present a significant clinical challenge.
Denture impaction is a rare but serious esophageal foreign body scenario.
Endoscopic removal is the standard first-line treatment for esophageal foreign bodies.

Observation:

A 36-year-old male presented with dysphagia after swallowing a denture.
Initial attempts at rigid esophagoscopy for denture removal were unsuccessful.
The patient experienced significant difficulty swallowing due to the impacted denture.

Findings:

Surgical removal of the impacted denture was successfully achieved through cervical esophagotomy.
The patient recovered without complications following the surgical intervention.
Histopathological examination of the removed denture confirmed its integrity and composition.

Implications:

Cervical esophagotomy is a viable and safe alternative for impacted esophageal foreign bodies when endoscopy is hazardous or fails.
Prompt surgical intervention can lead to excellent patient outcomes in complex esophageal impaction cases.
This case highlights the importance of considering surgical options for esophageal foreign body management.