Cervical Oesophagotomy and Removal of an Impacted Oesophageal Denture: Case Report and Literature Review

Okyere, Isaac; Singh, Sanjeev; Okyere, Perditer; Kusi, Antwi; Brenu, Samuel Gyasi

doi:10.4236/ss.2020.117020

Cited by 1 publication

(3 citation statements)

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“…Management options include endoscopic and surgical removal. [ 16 17 18 ] Commonly, endoscopic removal either by flexible or rigid esophagoscopy under general anesthesia is done. [ 1 ] A success rate of over 70% has been demonstrated in the use of rigid esophagoscopy in removing impacted dentures by Adedeji,[ 19 ] while a study conducted in Japan reported a comparatively higher success rate of 92%.…”

Section: Discussionmentioning

confidence: 99%

“…The location of the impacted denture will determine whether the open approach would be cervical or transthoracic esophagotomy. [ 1 16 18 19 ] Esophagotomy may potentially lead to serious complication of mediastinitis from esophageal leakage due to the breakdown of the repaired esophagotomy which could result in high mortality. [ 18 ] Esophagocutaneous fistula may occur even after healing following 3 weeks of conservative management according to a case report by Dorner,[ 20 ] and in such scenarios, re-exploration is advisable.…”

Section: Discussionmentioning

confidence: 99%

“…[ 18 ] Esophagocutaneous fistula may occur even after healing following 3 weeks of conservative management according to a case report by Dorner,[ 20 ] and in such scenarios, re-exploration is advisable. [ 16 ] In rare cases, where esophageal tissues are nonviable, esophageal replacement with a colon bypass might be needed to restore continuity of the lumen. [ 17 ]…”

Section: Discussionmentioning

confidence: 99%

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Impacted dentures in the pharynx and esophagus – Implication for advocacy

et al. 2022

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Background: Impaction of dentures has potentially significant morbidity and management challenges. This study sought to leverage on the occurrence of swallowed dentures to advance discussions on its management and prevention. Methods: A 5-year retrospective review of patients seen on account of impacted dentures at the Ear, Nose, and Throat Department of the Korle-Bu Teaching Hospital was done. Variables obtained included age, sex, location of impacted denture, treatment done, denture type, number of teeth, and complications. Variables were analyzed, and descriptive summaries were reported. Results: There was a record of 898 cases of impacted foreign bodies which presented to the department. Fifty-five (6.1%) records were on account of impacted dentures. These consisted of 25 (45%) males and 30 (55%) females. Ranging from 23 to 98 years, the mean and median ages were 55.7 (±18.1) years and 56.5 years respectively. There were no complications, and no identifiable predisposing patient conditions. All prostheses were removable acrylic dentures, and some observations included worn-out and loose dentures, while several had their prostheses dislodging in the process of swallowing tablet medications with water. Conclusion: Swallowed dentures are not rare occurrences in Ghana. Denture wearers should, therefore, be encouraged to get professional reviews, especially when prostheses get unretentive, while dental professionals are urged to incorporate measures in their fabrication to reduce the occurrence of swallowed dentures.

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Section: Discussionmentioning

confidence: 99%