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Persistent Odynophagia 27 Days After Emergent Intubation.

Richard White1,2, Kaitlyn Mander3, Christian A Koziatek1,2

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Clinical Practice and Cases in Emergency Medicine
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Summary
This summary is machine-generated.

A retained denture caused persistent throat pain 27 days after emergency intubation. This highlights the need to consider dentures as esophageal foreign bodies, especially after airway procedures.

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Area of Science:

  • Medical Case Reports
  • Gastroenterology
  • Airway Management

Background:

  • Emergent intubation is a critical procedure for securing the airway.
  • Foreign bodies in the esophagus can lead to significant morbidity.
  • Retained esophageal foreign bodies may present with subtle or delayed symptoms.

Purpose of the Study:

  • To report a case of delayed diagnosis of a retained esophageal foreign body.
  • To emphasize the importance of considering dentures as potential esophageal foreign bodies.
  • To highlight the diagnostic challenges in post-intubation patients.

Main Methods:

  • Case presentation of a patient with persistent odynophagia.
  • Review of the patient's history, including recent emergent intubation.
  • Diagnostic workup for esophageal foreign body.

Main Results:

  • A retained denture was identified as the cause of odynophagia 27 days post-intubation.
  • The patient experienced prolonged symptoms including pain on swallowing.
  • Delayed diagnosis was attributed to the unusual presentation and timing.

Conclusions:

  • Dentures are a significant, often overlooked, esophageal foreign body risk.
  • Airway management protocols should include consideration for potential foreign body displacement.
  • Persistent odynophagia, dysphagia, or voice changes post-intubation warrant thorough investigation for retained esophageal foreign bodies.