ENT Surgery Case Report - Denture Lodged In Throat
On March 14th, 2006, Mr.Doss, a 54 year-old man from a rural village, was brought to our hospital with a complaint of breathing trouble. He was choking, restless and could not eat or drink.
It was reported that his denture accidentally slipped into his throat while gargling before lunch the previous day. It was also reported that a local doctor had been consulted who gave Mr. Doss some injections and advised him to get more advanced treatment at a hospital. He refused, however, and wasted 12 to 16 hours by seeking further treatment locally. His condition worsened because of dehydration and breathing difficulty. Finally, his sons forced him to receive proper treatment and brought him to the Sri Narayani Hospital & Research Centre.
Mr. Doss and the X-ray that he brought with him were examined. The X-ray clearly showed that the denture was lodged in the Hypo pharynx. He was admitted to the I.C.U. for further investigation and treatment. He was rehydrated with I.V. fluids and Anti-Edematous measures. Antibiotics were given and oxygen supplementation was administered in order to maintain O2 saturation to stabilize his general condition so that he could undergo emergency surgery.
The patient was premedicated under general anaesthesia and the specimen was removed. A fibre optic telescope (bronchoscope) was used to find the denture, which was stuck deep into the hypo pharynx. With the help of a rigid bronchoscope, both ends of the denture strings were successfully clipped and removed without causing any injury to the throat and endotracheal tube. The patient was kept under observation in the Intensive Care Unit for 48 hours before he was discharged.