A Case of Esophageal Perforation by Miss-swallowing of Partial Denture

Muta, Akihiro

A Case of Esophageal Perforation by Miss-swallowing of Partial Denture

Akihiro Muta DDS, Department of Oral and Maxillofacial Surgery, Kumamoto University, Kumamoto, Japan

Masanori Shinohara , Department of Oral and Maxillofacial Surgery, Kumamoto University, Kumamoto, Japan

Akimitsu Hiraki , Department of Oral and Maxillofacial Surgery, Kumamoto University, Kumamoto, Japan

Hideki Nakayama , Department of Oral and Maxillofacial Surgery, Kumamoto University, Kumamoto, Japan

Hidenobu Kamahara , Department of Oral and Maxillofacial Surgery, Kumamoto University, Kumamoto, Japan

Katsuyuki Sagishima , Department of Oral and Maxillofacial Surgery, Kumamoto University, Kumamoto, Japan

Daisuke Niimori , Department of Oral and Maxillofacial Surgery, Kumamoto University, Kumamoto, Japan

Takahiro Tashiro , Department of Oral and Maxillofacial Surgery, Kumamoto University, Kumamoto, Japan

Yoshihiro Kinoshita , Department of Oral and Maxillofacial Surgery, Kumamoto University, Kumamoto, Japan

The most of accidental miss-swallowing of dental protheses are seen in patients with partial dentures covering some teeth, crowns and inlays. In most cases, they can be taken out easily or be spontaneously discharged. However, the large size of dental prostheses may damages pharyngeal and esophageal mucosa. A 57-year-old male was diagnosed as miss-swallowing of a foreign body in a local clinic and referred to our emergency department. CT scans revealed the existence of a large size of dental prosthesis in upper esophagus with perforation and indicated the possibility of mediastinitis. Therefore, surgical removal of the prothesis and drainage under general anesthesia were performed, and then he was sent to ICU with endotracheal intubation. The extubation was undergone on 11th hospital day. Subsequently, the patient showed symptomatic epileptic seizure and salivary flow to the lungs was found because of nerve paralysis. He was complicated with pneumonia so we follow up with antibiotics on 14th hospital day. Pooling and flow to the lung of saliva continued and SpO2 was decreased. Therefore, we inserted a transtracheal catheter and it was useful for suctioning phlegm and improving oxygenation better. He left ICU on 18th hospital day. We herein report this case with a review of literature.