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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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[Esophageal foreign body: dental plate]
L Robard1, D Blanchard, E Babin
1CHU Côte de Nacre, Service ORL, Avenue de la Côte de Nacre 14033 Caen cedex 9, France. robard_laetitia@hotmail.com
Revue De Laryngologie - Otologie - Rhinologie
|August 23, 2012
Summary
Dental foreign bodies in the esophagus, often from dentures, pose serious risks. Early diagnosis via endoscopy and prompt removal are crucial to prevent severe complications.
Area of Science:
- Gastroenterology
- Otolaryngology
- Emergency Medicine
Background:
- Esophageal foreign bodies (EFBs) are a common clinical problem.
- Dental foreign bodies, particularly dentures, represent a significant subset of EFBs.
- Risk factors include altered consciousness, advanced age, and local esophageal factors.
Observation:
- A case of a denture lodged in the esophagus of a 55-year-old male is presented.
- A comprehensive literature review of similar cases was conducted.
- Clinical characteristics and management strategies for dental EFBs were analyzed.
Findings:
- Diagnosis is often suspected with chest radiography and confirmed by endoscopy.
- Endoscopic or surgical extraction is the primary treatment modality.
- Complications are time-dependent and can be severe.
Implications:
- Dysphagia in at-risk individuals should prompt consideration of esophageal dental foreign bodies.
- Endoscopic evaluation is frequently necessary for accurate diagnosis.
- Prevention strategies should focus on educating individuals in specialized institutions.
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