Skip to main content
Log in

Surgical removal of a denture with sharp clasps impacted in the cervicothoracic esophagus: Report of three cases

  • Case Report
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

We report three cases of successful surgical removal of a denture with sharp clasps impacted in the cervical esophagus. Patient 1 was a 57-year-old woman institutionalized for over 30 years for schizophrenia, patient 2 was a 62-year-old man hospitalized for brain paralysis, and patient 3 was a 64-year-old man suffering cerebral hemorrhage sequelae. All three patients swallowed a denture accidentally. Chest X-rays showed the denture with sharp clasps in the cervicothoracic region of the esophagus, and endoscopy revealed that it was lodged in the esophageal mucosa. The denture was subsequently removed by cervical esophagotomy. All three patients had a good clinical postoperative course without any complications. Thus, we recommend surgery via a cervical approach to remove a denture with sharp clasps impacted in the cervicothoracic esophagus, with intraoperative endoscopic examination for esophageal injury.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Abdullah BJ, Teong LK, Mahadevan J, Jalaludin A. Dental prosthesis ingested and impacted in the esophagus and orolaryngopharynx. J Otolaryngol 1998;27:190–194.

    PubMed  CAS  Google Scholar 

  2. Firth AL, Moor J, Goodyear PW, Strachan DR. Dentures may be radiolucent. Emerg Med J 2003;20:562–563.

    Article  PubMed  CAS  Google Scholar 

  3. Nwaorgu OG, Onakoya PA, Sogebi OA, Kokong DD, Dosumu OO. Esophageal impacted dentures. J Natl Med Assoc 2004;96:1350–1353.

    PubMed  Google Scholar 

  4. Khan MA, Hameed A, Choudhry AJ. Management of foreign bodies in the esophagus. J Coll Physicians Surg Pak 2004;14:218–2120.

    PubMed  Google Scholar 

  5. Nijhawan S, Shimpi L, Mathur A, Mathur V, Roop Rai R. Management of ingested foreign bodies in upper gastrointestinal tract: Report on 170 patients. Indian J Gastroenterol 2003;22:46–48.

    PubMed  Google Scholar 

  6. Jones NS, Lanningan FJ, Salaama NY. Foreign bodies in the throat: A prospective study of 388 cases. J Laryngol Otol 1991;105:104–108.

    Article  PubMed  CAS  Google Scholar 

  7. Matsumoto N, Oki E, Morita M, Kakeji Y, Egashira A, Sadanaga N, et al. Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus: report of a case. Surg Today 2009;39:1068–1072.

    Article  PubMed  CAS  Google Scholar 

  8. Weissberg D, Refaely Y. Foreign bodies in the esophagus. Ann Thorac Surg 2007;84:1854–1857.

    Article  PubMed  Google Scholar 

  9. Athanassiadi K, Gerazounis M, Metaxas E, Kalantzi N. Management of esophageal foreign bodies: a retrospective review of 400 cases. Eur J Cardiothorac Surg 2002;21:653–656.

    Article  PubMed  Google Scholar 

  10. Nwafo DC, Anyanwu CH, Egbue MO. Impacted esophageal foreign bodies of dental origin. Ann Otol Rhinol Laryngol 1980;89:129–131.

    PubMed  CAS  Google Scholar 

  11. Vivaldi C, Vallbohmer D, Holscher M, Holscher AH. Accidentally swallowed dentures — what is the correct diagnostic and therapeutic management? Zentralbl Chir 2008;133:82–85.

    Article  PubMed  CAS  Google Scholar 

  12. Imam SZ, Ikram M, Fatimi S, Iqbal M. Cervical esophagotomy for an impacted denture: a case report. Ear Nose Throat J 2009;88:833–834.

    PubMed  Google Scholar 

  13. Chen CY, Lee SC, Chen CW, Chen JC. Denture mis-swallowing in the sliding esophageal hiatal mimics esophageal perforation. J Formos Med Assoc 2008;107:663–666.

    Article  PubMed  Google Scholar 

  14. Samarasam I, Chandran S, Shukla V, Mathew G. A missing denture’s misadventure! Dis Esophagus 2006;19:53–55.

    Article  PubMed  CAS  Google Scholar 

  15. Chua YK, See JY, Ti TK. Oesophageal-impacted denture requiring open surgery. Singapore Med J 2006;47:820–821.

    PubMed  CAS  Google Scholar 

  16. Stiles BM, Wilson WH, Bridges MA, Choudhury A, Rivera-Arias J, Nguyen DB, et al. Denture esophageal impaction refractory to endoscopic removal in a psychiatric patient. J Emerg Med 2000;18:323–326.

    Article  PubMed  CAS  Google Scholar 

  17. Markoe TM. Esophagotomy for foreign bodies lodged in the tube. Ann Surg 1886;4:193–207.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Toshima, T., Morita, M., Sadanaga, N. et al. Surgical removal of a denture with sharp clasps impacted in the cervicothoracic esophagus: Report of three cases. Surg Today 41, 1275–1279 (2011). https://doi.org/10.1007/s00595-010-4467-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-010-4467-x

Key words

Navigation