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

被引:21
|
作者
Toshima, Takeo [1 ]
Morita, Masaru [1 ]
Sadanaga, Noriaki [1 ]
Yoshida, Rintaro [1 ]
Yoshinaga, Keiji [1 ]
Saeki, Hiroshi [1 ]
Kakeji, Yoshihiro [1 ]
Maehara, Yoshihiko [1 ]
机构
[1] Kyushu Univ, Dept Surg & Sci, Grad Sch Med Sci, Higashi Ku, Fukuoka 8128582, Japan
关键词
Esophageal foreign body; Denture; Cervical esophagotomy; FOREIGN-BODIES; MANAGEMENT;
D O I
10.1007/s00595-010-4467-x
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:1275 / 1279
页数:5
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