Abstract
Denture impacted in the esophagus of adults has been a complex foreign body for otolaryngologists. We reviewed clinical characteristics, diagnosis, and treatment of these patients and evaluated computed tomography (CT) scans to identify a better method of dealing with such tricky situations. Twenty-nine patients who underwent rigid esophagoscopy were included in this retrospective study conducted at the University hospital. The patients underwent preoperative tests and examinations, including complete blood count, blood type and coagulation, electrocardiogram, and CT. The commonest symptoms were retrosternal pain, dysphagia, and odynophagia. Duration of the foreign body impacted within 24 h was 65.5%. CT findings revealed that 4 of 24 cases had complications in the upper esophagus, with 3 of the 4 cases in the mid-esophagus and 1 in the lower esophagus. Complications were related to the duration and location of the obstruction (P < 0.05). The location and complications based on CT findings were coherent with rigid esophagoscopy findings. Denture impaction in the esophagus can be fatal. Early intervention is crucial for prognosis. CT is used for diagnosing and guiding doctors in managing. The commonest location of impacted dentures was the upper esophagus with a lower incidence of complications. The incidence of an impacted denture in the mid-esophagus was low but with a high risk of complications. The incidence of an impacted denture in the lower esophagus was rare. Surgery and proper treatment ensure a good prognosis.
Similar content being viewed by others
References
Eisen GM, Baron TH, Dominitz JA, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc. 2002;55:802–6.
Zhang X, Jiang Y, Fu T, et al. Esophageal foreign bodies in adults with different durations of time from ingestion to effective treatment. J Int Med Res. 2017;45(4):1386–93.
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. 2011;41(9):1275–9.
Fang R, Sun J, Hu Y, Yao K, Hu W. Endoscopic removal of esophageal impacted dentures. Ann Otol Rhinol Laryngol. 2010;119(4):249–51.
Ambe P, Weber SA, Schauer M, Knoefel WT. Swallowed foreign bodies in adults. Dtsch Arztebl Int. 2012;109(50):869–75.
Eliashar R, Dano I, Dangoor E, Braverman I, Sichel JY. Computed tomography diagnosis of esophageal bone impaction: a prospective study. Ann Otol Rhinol Laryngol. 1999;108:708–10.
Ma J, Kang DK, Bae JI, Park KJ, Sun JS. Value of MDCT in diagnosis and management of esophageal sharp or pointed foreign bodies according to level of esophagus. AJR Am J Roentgenol. 2013;201(5):W707.
Ferrari D, Aiolfi A, Bonitta G, et al. Flexible versus rigid endoscopy in the management of esophageal foreign body impaction: systematic review and meta-analysis. World J Emerg Surg. 2018;13:42.
Dar GA, Ganie FA, Ishaq M, et al. Prolonged impacted denture in the esophagus: a case report and review of the literature. Bull Emerg Trauma. 2015;3(1):32–5.
Wahid FI, Rehman HU, Khan IA. Management of foreign bodies of upper digestive tract. Indian J Otolaryngol Head Neck Surg. 2014;66:203–6.
Adedeji TO, Olaosun AO, Sogebi OA, Tobih JE. Denture impaction in the oesophagus experience of a young ENT practice in Nigeria. Pan Afr Med J. 2014;18:330.
Bandyopadhyay SN, Das S, Das SK, Mandal A. Impacted dentures in the oesophagus. J Laryngol Otol. 2014;128(5):468–74.
Liu YC, Zhou SH, Ling L. Value of helical computed tomography in the early diagnosis of esophageal foreign bodies in adults. Am J Emerg Med. 2013;31(9):1328–32.
Aiolfi A, Ferrari D, Riva CG, Toti F, Bonitta G, Bonavina L. Esophageal foreign bodies in adults: systematic review of the literature. Scand J Gastroenterol. 2018;53(10–11):1171–8.
Nwafo DC, Anyanwu CH, Egbue MO. Impacted esophageal foreign bodies of dental origin. Ann Otol Rhinol Laryngol. 1980;89:129–31.
Khan MA, Hameed A, Choudhry AJ. Management of foreign bodies in the esophagus. J Coll Physicians Surg Pak. 2004;14:218–20.
Peng A, Li Y, Xiao Z, Wu W. Study of clinical treatment of esophageal foreign body-induced esophageal perforation with lethal complications. Eur Arch Otorhinolaryngol. 2012;269(9):2027–36.
Funding
No financial disclosures.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None.
Ethical Approval
All the study protocols were approved by the ethics review committee of the first hospital of China Medical University.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Wang, F., Yang, N., Wang, Z. et al. Clinical Analysis of Denture Impaction in the Esophagus of Adults. Dysphagia 35, 455–459 (2020). https://doi.org/10.1007/s00455-019-10048-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00455-019-10048-3