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Swallowed partial denture in severe intellectual disability patient.

Ji-Hoon Kim1

  • 1Otorhinolaryngology, National Health Insurance Corporation Ilsan Hospital, Goyang, The Republic of Korea jihoonkim@nhimc.or.kr.

BMJ Case Reports
|January 19, 2021
PubMed
Summary

Elderly patients swallowing dentures require prompt action. Intraoral removal of esophageal foreign bodies, like dentures, is preferred over surgery for quicker recovery.

Keywords:
earnose and throatnose and throat/otolaryngology

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Area of Science:

  • Gastroenterology
  • Emergency Medicine
  • Geriatric Care

Background:

  • Swallowed foreign bodies, particularly dentures, pose a significant risk in elderly patients.
  • Prompt management is crucial to prevent complications such as esophageal obstruction or perforation.

Observation:

  • A case report details an elderly patient with intellectual disability who swallowed a partial denture.
  • The denture lodged at the esophageal inlet, initially resisting endoscopic removal.

Findings:

  • Successful retrieval of the denture with its clasp was achieved using long forceps via an intraoral approach under intravenous sedation.
  • This method bypassed the need for more invasive surgical procedures.

Implications:

  • The intraoral approach for foreign body removal at the pharynx and esophageal inlet offers a faster recovery pathway for patients.
  • This technique should be prioritized over open surgery in select cases, especially for patients with cognitive impairments.