Missing Aspirated Impacted Denture Requiring Tracheotomy for Removal

Document Type : Case Report

Authors

1 Department of Otorhinolaryngology , Himalayan Institute of Medical Sciences, SRH University, Jolly-grant, Doiwala, Dehrdun 248140 (Uttarakhand) India.

2 Department of Anaesthesia, Himalayan Institute of Medical Sciences, SRH University, Jolly-grant, Doiwala, Dehradun -248140 (Uttarakhand) India.

Abstract

Introduction:                                                    
Aspirated foreign bodies continue to present challenges to otorhinolaryngologists. Removal of impacted airway foreign bodies via conventional methods can at times pose difficulty. This may berelated to the location and type of foreign body, experience of the surgeon and anesthetist, and the availability of appropriate instruments. In adults, especially in edentulous patients, a swallowed denture usually gets lodged in the esophagus and entrance into the airway is uncommon. 
 Case Report:
 We report a case of an uncommon foreign body (3-toothed artificial denture plate) impacted in the trachea of a 40-year-old male following an acute episode of an epileptic attack in which conventional methods of foreign body removal had failed. It was eventually removed via a direct laryngoscopy and tracheotomy technique.
 
Conclusion:
This type of impaction of a large denture in the trachea is uncommon and late presentation after aspiration is even more rare. This unusual case of a foreign body in the airway is interesting due to its rarity, mode of entry, site of impaction, variable clinical presentation, and method of removal; and hence, prompted the authors to report this case.
 
 

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References

1. Sekent MG, Watson. Laryngeal foreign bodies. J Laryngol Otol 1990; 104:131–3.
2. Redford M, Drury TF, Kingman A, Brown LJ. Denture use and the technical quality of dental prostheses among persons 18-74 years of age: United States, 1988-1991. J Dent Res. 1996; 75: 714-25.
3. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2005 Apr; 33(2):81-92.
4. Başoglu OK, Buduneli N, Cagirici U, Turhan K, Aysan T. Pulmonary aspiration of a two-unit bridge during a deep sleep. Journal of Oral Rehabili- tation.2005; 32:461-3.
5. Ellen M Friedman. Tracheobronchial foreign bodies. Otolarygol Clin Nor Am 2000; 3(1):179-85. 6. Cataneo AJM, Reibscheid SMR, Ruiz LR, Ferrari GF. Foreign body in the tracheobronchial tree. Clin Pediatr 1997; 36 (12): 701-5.
7.  Aytac A, Yurdakul Y, Ikizler C, Olga R, Saylam A. Inhalation of foreign bodies in children. J Thorac Cardiovase Surg 1977; 74(1): 145-51.
8. Haidary A, Leider JS, Silbergleit. Unsuspected Swallowing of a Partial Denture. Am J Neuroradiol. 2007; 28(9):1734-5.
9. Rothmann BF, Boeckman CR. Foreign bodies in the larynx and tracheobronchial tree in children. A review of 225 cases. Ann Otol Rhinol Laryngol. 1980; 89:434-6.
10. Mehta RM, Pathak PN. A foreign body in the larynx. Br J Anesth 1973; 45:785–6.
11. Yong DJ, bin Md Nasir A.M, Gendeh BS. Unusual glottic denture impaction: A case report.  Asian Journal of Oral and Maxillofacial Surgery 2011; 23: 50–52.  
 
 
Iranian Journal of Otorhinolaryngology
Volume 29, Issue 6 - Serial Number 95
November and December 2017
Pages 359-363

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