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Computed tomographic detection of a swallowed denture.

M G McLaughlin¹, L C Swayne, V Caruana

¹Department of Diagnostic Radiology, Morristown Memorial Hospital, NJ 07960.

Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society

|March 1, 1989

Summary

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An elderly patient presented with symptoms mimicking a laryngeal tumor. Imaging revealed a swallowed mandibular denture, highlighting a rare cause of airway obstruction in vulnerable populations.

Area of Science:

Otolaryngology
Radiology
Geriatrics

Background:

Elderly patients, especially those with dementia, are at increased risk for foreign body ingestion.
Laryngeal masses can present with diverse symptoms, including airway compromise and difficulty swallowing.

Observation:

An 89-year-old female nursing home resident presented with a two-week history of drooling and a palpable laryngeal mass.
Fiberoptic laryngoscopy initially suggested a tumor due to a hard, pinkish-white mass.
Computed tomography (CT) of the neck was crucial for accurate diagnosis.

Findings:

CT imaging revealed an impacted, complete mandibular denture in the laryngeal region.
The denture was the underlying cause of the apparent laryngeal mass and associated symptoms.

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Implications:

This case underscores the importance of considering foreign body ingestion, specifically dentures, in the differential diagnosis of laryngeal masses in the elderly.
Radiologists and otolaryngologists must maintain a high index of suspicion for unusual presentations of foreign bodies in this demographic.
Awareness and prompt diagnosis can prevent complications and ensure appropriate management.