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Dental Prosthesis in Esophagus: A Right Cervicotomic Approach
Foreign body ingestion in the upper digestive tract is a relatively common emergency. Less than 1% have to be treated surgically. We report the case of a 68-year-old man who ingested a dental prosthesis, probably during a seizure, and thus unknowingly, and presented two days later to the emergency d...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9409762/ https://www.ncbi.nlm.nih.gov/pubmed/36013349 http://dx.doi.org/10.3390/life12081170 |
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author | Zanchetta, Matteo Monti, Elisa Latham, Lorenzo Costa, Jessica Marzorati, Alessandro Odeh, Murad Colombo, Elisabetta Marta Ietto, Giuseppe Inversini, Davide Iovino, Domenico Maffioli, Marco Paolo Festi, Luigi Fiorenzo Carcano, Giulio |
author_facet | Zanchetta, Matteo Monti, Elisa Latham, Lorenzo Costa, Jessica Marzorati, Alessandro Odeh, Murad Colombo, Elisabetta Marta Ietto, Giuseppe Inversini, Davide Iovino, Domenico Maffioli, Marco Paolo Festi, Luigi Fiorenzo Carcano, Giulio |
author_sort | Zanchetta, Matteo |
collection | PubMed |
description | Foreign body ingestion in the upper digestive tract is a relatively common emergency. Less than 1% have to be treated surgically. We report the case of a 68-year-old man who ingested a dental prosthesis, probably during a seizure, and thus unknowingly, and presented two days later to the emergency department complaining of a mild dysphagia. A chest radiograph showed the presence of a removable dental prosthesis in the upper esophageal tract. The patient was brought to the operating room where a multidisciplinary equipe was assembled. Two attempts of retrieval with a flexible and a rigid endoscope failed because the removable dental prosthesis was stuck in the right pyriform sinus. Therefore, the surgeon performed an uncommon right cervicotomy and retrieved the foreign body through a right-side esophagotomy. The surgical approach depends on the nature and location of the foreign body. Urgent treatment is required whenever the patient develops dyspnea or dysphagia because of the high risk of inhalation and asphyxia. Removal of any esophageal foreign body has to be performed within 12–24 h. Repeated attempts to retrieve large dental prosthesis using an endoscope may result in esophageal perforation therefore when such risk of complication is too high, a surgical approach becomes inevitable. In our opinion, surgery remains the extrema ratio after a failed endoscopic retrieval attempt but can be lifesaving despite high risk of complications. |
format | Online Article Text |
id | pubmed-9409762 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-94097622022-08-26 Dental Prosthesis in Esophagus: A Right Cervicotomic Approach Zanchetta, Matteo Monti, Elisa Latham, Lorenzo Costa, Jessica Marzorati, Alessandro Odeh, Murad Colombo, Elisabetta Marta Ietto, Giuseppe Inversini, Davide Iovino, Domenico Maffioli, Marco Paolo Festi, Luigi Fiorenzo Carcano, Giulio Life (Basel) Case Report Foreign body ingestion in the upper digestive tract is a relatively common emergency. Less than 1% have to be treated surgically. We report the case of a 68-year-old man who ingested a dental prosthesis, probably during a seizure, and thus unknowingly, and presented two days later to the emergency department complaining of a mild dysphagia. A chest radiograph showed the presence of a removable dental prosthesis in the upper esophageal tract. The patient was brought to the operating room where a multidisciplinary equipe was assembled. Two attempts of retrieval with a flexible and a rigid endoscope failed because the removable dental prosthesis was stuck in the right pyriform sinus. Therefore, the surgeon performed an uncommon right cervicotomy and retrieved the foreign body through a right-side esophagotomy. The surgical approach depends on the nature and location of the foreign body. Urgent treatment is required whenever the patient develops dyspnea or dysphagia because of the high risk of inhalation and asphyxia. Removal of any esophageal foreign body has to be performed within 12–24 h. Repeated attempts to retrieve large dental prosthesis using an endoscope may result in esophageal perforation therefore when such risk of complication is too high, a surgical approach becomes inevitable. In our opinion, surgery remains the extrema ratio after a failed endoscopic retrieval attempt but can be lifesaving despite high risk of complications. MDPI 2022-07-31 /pmc/articles/PMC9409762/ /pubmed/36013349 http://dx.doi.org/10.3390/life12081170 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Zanchetta, Matteo Monti, Elisa Latham, Lorenzo Costa, Jessica Marzorati, Alessandro Odeh, Murad Colombo, Elisabetta Marta Ietto, Giuseppe Inversini, Davide Iovino, Domenico Maffioli, Marco Paolo Festi, Luigi Fiorenzo Carcano, Giulio Dental Prosthesis in Esophagus: A Right Cervicotomic Approach |
title | Dental Prosthesis in Esophagus: A Right Cervicotomic Approach |
title_full | Dental Prosthesis in Esophagus: A Right Cervicotomic Approach |
title_fullStr | Dental Prosthesis in Esophagus: A Right Cervicotomic Approach |
title_full_unstemmed | Dental Prosthesis in Esophagus: A Right Cervicotomic Approach |
title_short | Dental Prosthesis in Esophagus: A Right Cervicotomic Approach |
title_sort | dental prosthesis in esophagus: a right cervicotomic approach |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9409762/ https://www.ncbi.nlm.nih.gov/pubmed/36013349 http://dx.doi.org/10.3390/life12081170 |
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