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Prolonged pharyngeal impaction of dentures following stroke
S Fort1, G M Batty, W E Wilkins
1Princess of Wales Hospital, Bridgend, Great Britain.
Stroke
|December 1, 1989
Summary
Dysphagia after stroke can be caused by impacted dental devices. Direct laryngoscopy is recommended for diagnosis, as imaging may be unreliable due to modern materials.
Area of Science:
- Neurology
- Otolaryngology
- Gastroenterology
Background:
- Dysphagia is a common post-stroke complication.
- Dental prostheses are increasingly used in patients, including those with stroke.
Observation:
- Two stroke patients presented with dysphagia due to pharyngeal impaction of dental prostheses.
- Radiologic identification of impaction was unreliable due to radiolucent materials in the prostheses.
Findings:
- Pharyngeal impaction of dental prostheses can cause dysphagia in stroke survivors.
- Standard imaging techniques may fail to detect radiolucent foreign bodies.
Implications:
- Direct or indirect laryngoscopy is crucial for diagnosing foreign body impaction in dysphagia patients post-stroke.
- Clinical suspicion and direct visualization are key when imaging is inconclusive for dental prosthesis impaction.