Case Report

Management of denture foreign body in esophagus with cervical esophagotomy: case report

Kadek Yudi Fajar Mahendra , Ketut Putu Yasa

Kadek Yudi Fajar Mahendra
General Surgery Resident, Department of General Surgery, Universitas Udayana-Sanglah General Hospital, Bali-Indonesia.. Email:

Ketut Putu Yasa
Consultant of Thoracic and Cardio Vascular Surgeon, Department of Thoracic and Cardio Vascular Surgery, Universitas Udayana, Bali-Indonesia
Online First: December 01, 2019 | Cite this Article
Mahendra, K., Yasa, K. 2019. Management of denture foreign body in esophagus with cervical esophagotomy: case report. Intisari Sains Medis 10(3). DOI:10.15562/ism.v10i3.558

Introduction: Impaction of dentures in the esophagus is a distressing experience for a patient and can lead to serious consequences, such as esophageal perforation. Patients with an impacted denture often present with a history of accidental swallowing, frequently during trauma, seizures, or sleep or in association with some degree of psychological dysfunction. The common signs and symptoms of an impacted denture are odynophagia, dysphagia, or simply pain and tenderness in the neck or chest.The preferred method of removal of esophageal foreign bodies is extraction with the flexible endoscope. Surgical removal is rarely indicated except in the event of perforation or other foreign body complications.In situations where this appears potentially hazardous, such as with impacted denture, open surgical extraction by cervical oesophagotomy is promptly performed is a safe option.

Cases Report: The successful removal of impacted denture in the esophagus in a patient is reported, with a review of the literature. A women23-year-old  complained of dysphagia after swallowing his denture. Following unsuccessful attempts at removal via a rigid esophagoscope, open surgery was performed. Without further delay, the impacted denture was removed by cervical oesophagotomy, and the patient recovered uneventfully.

Conclusion: The successful removal of impacted denture by cervical oesophagotomy in the esophagus in a patient is reported. We conclude that cervical esophagotomy is a safe method for removing foreign bodies impacted in the cervical esophagus when they cannot be removed endoscopically.


Yadav R, Mahajan G, MAthur RM. Denture Plate Foreign Body of Esofagus. International Journal of Thoracic Vascular Surgery. 2008;24:191-4.

Athanassiadi K, et al. Management of esophageal foreign bodies: a retrospective review of 400 cases. European Journal of Cardio-thoracic Surgery. 2002;21:653–656.

Peters JH, Demeester T. Esofagus and Diaphragmatic Hernia in Schwartz’s Principles of Surgery. 8th ed. New York: McGraw Hill; 2010. p. 836-40.

Zakariya IM, et al. Cervical esophagotomy for an impacted denture: A case report. Ear Nose Throat J. 2009;88(3):833-4.

Chua YKD, See JY, Ti TK. Oesophageal-impacted denture requiring open surgery. Singapore Med J. 2006;47(9):820-23.

Luigi Bonavina et al.Thoracoscopic removal of dental prosthesis impacted in the upper thoracic esophagus. World Journal of Emergency Surgery. 2014;9:5.

Rathore PK, Raj A, et al. Prolonged foreign body impaction in the oesophagus. Singapore Med J. 2006;50(2):e53

Nwaorgu OG, Onakoya PA, Sogebi OA, Kokong DD, Dosumu OO, et al. Esophageal Impacted Dentures. J Nation Med Assoc. 2004; 96:1350-3.

Miyazaki T, Hokaman N, Kubo N, Ishiguro T, Sakimoto T, et al. Management of Esophageal Foreign Bodies: Experience of 90 Cases. Esophagus. 2009;6:155-9.

Ekim H. Management of esophageal foreign bodies: A report on 26 patients and literature review. Eastern Journal of Medicine. 2010;15:21-5.

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