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Accidental Ingestion of Dental Prosthesis : A propos of 14 cases

Aim: To share our experience in the management of accidental ingestion of dental prosthesis Design: Retrospective study Settings: Department of ORL, Head and Neck Surgery, Faculty of Medicine, Cheikh Anta Diop University, Dakar, Senegal, West Africa Patients and Method: All cases of ingestion of dental prosthesis managed in our department from January 1st 2007 to December 31st 2013. Of 332 patients with inadvertent swallowed foreign bodies, 14 cases of impacted dental prosthesis were recorded. Following data were studied: gender, age, signs and symptoms, radiological findings, endoscopic and/or open surgical extraction of foreign body and complications. Results: During 7 years, there were 14 patients with impacted dental prosthesis from a total of 332 patients who suffered from foreign body ingestion (3%). Median age was 44 years old (25-80 years). Sex ratio (M/F) was 1.8 with 9 men. All of the patients were complaining from discomfort of the throat. Chest and neck X-ray were performed before endoscopy. Thirteen dentures were seen on plain radiography (13/14 cases) and all of which had metal wires attached. In only one was the denture radiolucent and CT scan were done. All patients underwent endoscopy with 13 successful removals. In 1 case, open surgical extraction through cervical oesophagotomy was performed with recurrent laryngeal nerve paresis. Median hospital stay was 3 days long (1 – 10 jours). There was no case of perforation or mortality. Conclusion: Management of accidental ingestion of dental prosthesis could be challenging even when the diagnosis was easily done. Plain radiograph should be systematically performed to show if there were metal wires attached. Attempts at endoscopic extraction could be unsuccessful regarding the size, the shape or the attached wires and could lead to severe complications like perforation. Therefore open surgical extraction through oesophagotomy was required.


Auteur(s) : Deguenonvo REA, Diouf-Ba MS, Toure S, Ndiaye C, Ndiaye IC, Fall B, Diouf R, Diop EM
Année de publication : 2016
Revue : Dental Health : Current Research
N° de volume : 2(1)
Type : Article
Mise en ligne par : DEGUENONVO Richard Edouard Alain