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Impacted dentures in the oesophagus

Published online by Cambridge University Press:  23 April 2014

S N Bandyopadhyay ,
S Das ,
S K Das  and
A Mandal
S N Bandyopadhyay*
Affiliation:
Department of ENT, Bankura Sammilani Medical College, West Bengal, India
S Das
Affiliation:
Department of ENT, Bankura Sammilani Medical College, West Bengal, India
S K Das
Affiliation:
Department of ENT, Bankura Sammilani Medical College, West Bengal, India
A Mandal
Affiliation:
Department of Cardiothoracic and Vascular Surgery, Calcutta National Medical College, West Bengal, India
*
Address for correspondence: Dr S N Bandyopadhyay, Flat no. 3R-3/5, Ananya Housing Estate, 25C, R. M. Dutta Garden Lane, Kolkata 700 010, West Bengal, India E-mail: [email protected]
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Abstract

Objective:

This study presents the incidence of denture impaction in the oesophagus, and discusses the difficulties of managing such cases.

Method:

A total of 262 patients with a history of foreign body ingestion (between 1999 and 2010) were reviewed; 46 of these patients had dentures impacted in the oesophagus.

Results:

The cervical section of the oesophagus was the commonest site of impaction. Dysphagia and tracheal tenderness were the most consistent features when dentures became impacted in the upper oesophagus. In most cases, rigid oesophagoscopy enabled successful removal of the impacted denture. Locating an impacted denture hidden within the oesophageal mucosal folds sometimes proved difficult.

Conclusion:

In cases of impacted dentures in the oesophagus, a positive history helps in the diagnosis, but a high degree of clinical suspicion aids early detection. Conventional radiographs are important but may not always be of assistance. Early intervention reduces complications. Dentures that are poorly maintained and old are more likely to be swallowed accidentally. The inclusion of radiopaque filler within dentures would assist localisation following accidental swallowing.

Keywords

DentureDental ProsthesisImpactionIngestionEsophagusEsophagoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 5 , May 2014 , pp. 468 - 474
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Nandi, P, Ong, GB. Foreign body in the oesophagus: review of 2394 cases. Br J Surg 1978;65:5–9Google Scholar
2Abdullah, BJJ, Kaur, H, Ng, KH. Radio-opacity of Malaysian fish bones – an in-vitro study. Asian J Radiol 1997;3:327–38Google Scholar
3Vizearrondo, FJ, Brady, PG, Nord, HJ. Foreign bodies in the upper gastrointestinal tract. Gastrointest Endosc 1983;29:208–10Google Scholar
4Webb, AW. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc 1995;41:39–51Google Scholar
5Abdullah, BJJ, Teong, LK, Mahadevan, J, Jalaluddin, A. Dental prosthesis ingested and impacted in the oesophagus and orolaryngopharynx. J Otolaryngol 1998;27:190–4Google ScholarPubMed
6Hashmi, S, Walter, J, Smith, W, Latis, S. Swallowed partial dentures. J R Soc Med 2004;97:72–5Google Scholar
7Mishra, A, Shukla, GK, Mishra, SC, Bhatia, N, Agarwal, SP. The problems of denture impaction. Indian J Otolaryngol Head Neck Surg 1996;48:241–4CrossRefGoogle Scholar
8Agarwal, N, Agarwal, KK, Purohit, GN. Unusual foreign body (denture) in trachea-bronchial tree. Indian J Otolaryngol Head Neck Surg 1999;52:99–100Google Scholar
9Nageris, B, Feinmesser, R. Dentures in the oesophagus complicated by pneumomediastinum. Ear Nose Throat J 1990;69:737–8Google ScholarPubMed
10Marais, J, Mitchell, R, Wightman, AJA. The value of radiographic assessment of oropharyngeal foreign bodies. J Laryngol Otol 1995;109:452–4Google Scholar
11Newton, JP, Abel, RW, Lloyd, CH, Yemm, R. The use of computed tomography in the detection of radiolucent denture base material in the chest. J Oral Rehabil 1987;14:193–202Google Scholar
12Davy, KWM, Causton, BE. Radio-opaque denture base: a new acrylic co-polymer. J Dent 1982;10:254–64Google Scholar
13Goshima, T, Gettleman, L, Goshima, Y, Yamamoto, A. Evaluation of radiopaque denture liner. Oral Surg Oral Med Oral Pathol 1992;74:379–82CrossRefGoogle ScholarPubMed
14Mahadevan, J, Abdullah, BJ, Kasim, NH, Yunus, N. Comparison of the size and shape of various dental prostheses in an animal carcass. Malaysian Radiological Society Annual Scientific Meeting, Langkawi, August, 1996Google Scholar
15Nimmo, SS, Nimmo, A, Chin, GA. Ingestion of a unilateral removable partial denture causing serious complications. Oral Surg Oral Med Oral Pathol 1988;66:24–6CrossRefGoogle ScholarPubMed
16Payne, SDW, Henry, M. Radiolucent dentures impacted in the oesophagus. Br J Surg 1984;71:318Google Scholar
17Maleki, M, Evans, WE. Foreign body perforation of the intestinal tract. Report of 12 cases and review of the literature. Arch Surg 1970;101:475–7Google Scholar
18Dhingra, PL, Bansal, R. Overlooked impacted dentures and their unusual complications. Indian J Otolaryngol Head Neck Surg 1998;50:277–80CrossRefGoogle ScholarPubMed