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Related Experiment Videos

Cervical esophagotomy for an impacted denture: a case report.

Sardar Zakariya Imam1, Mubasher Ikram, Saulat Fatimi

  • 1Department of Otolaryngology and Head and Neck Surgery, Aga Khan University Hospital, Karachi, Pakistan.

Ear, Nose, & Throat Journal
|March 18, 2009
PubMed
Summary

A 46-year-old woman with an impacted denture in her esophagus, initially undiagnosed, required surgical removal. Cervical esophagotomy proved a safe and effective method for this impacted esophageal foreign body.

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Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...

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Area of Science:

  • Gastroenterology
  • Otolaryngology
  • Surgical Case Report

Background:

  • Esophageal foreign bodies can present diagnostic challenges.
  • Impacted dentures pose a risk of esophageal perforation.

Observation:

  • A 46-year-old woman presented with an impacted denture and impending esophageal perforation.
  • Initial diagnosis was missed; denture wire visualized on X-ray.
  • Endoscopic removal attempts at a tertiary care hospital were unsuccessful.

Findings:

  • The denture was successfully removed 18 days after ingestion via cervical esophagotomy.
  • Post-surgical Gastrograffin swallow showed no contrast medium extravasation.
  • Follow-up examinations were unremarkable.

Related Experiment Videos

Implications:

  • Cervical esophagotomy is a viable and safe surgical option for impacted cervical esophageal foreign bodies.
  • Highlights the importance of thorough diagnostic evaluation for esophageal foreign bodies.
  • Suggests cervical esophagotomy as a salvage procedure when endoscopic removal fails.