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首页> 外文期刊>Annals of Medicine and Surgery >Swallowed dentures: Two cases and a review
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Swallowed dentures: Two cases and a review

机译:吞咽式假牙:两例并复习

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Introduction Denture ingestion or aspiration is a problem requiring awareness of different specialists including dentists, surgeons, otolaryngologists, anesthesiologists etc. in terms of prevention, early diagnosis and adequate treatment. Complications of swallowed dentures include hollow viscus necrosis, perforation, penetration to neighbor organs leading to fistulae, bleeding and obstruction. Presentation of cases First case is a 54-year-old female who accidentally swallowed retractable one-tooth denture during fall about 22?h before admission and clinical manifestation of acute small bowel obstruction developed. The patient underwent laparotomy, enterotomy with retrieval of the foreign body. The second case is a 31-year-old male who accidentally ingested fixed one-tooth prosthesis while eating which impacted in the ileocaecal valve. During the preparation to colonoscopy the denture spontaneously passed out with stools. Discussion Denture ingestion is more common among patients with psychoneurologic deficit, alcohol and drug abusers. Among healthy and younger population denture ingestion is rare. Both reported patients are not elder. Thus dislodgement of removable or fixed dentures is another risk factor of denture ingestion. Most common site of denture impaction is esophagus; small bowel impaction is rare. Moreover, in most reported cases, small bowel impaction of ingested dentures leads to small bowel perforation. In our first case the complication of denture ingestion appeared to be bowel obstruction what is even rarer. Conclusion Fixed dentures can be accidentally ingested as well as removable dentures. Denture loosening leads to accidental denture ingestion. Patients with denture loosening should be recommended to visit dentist as soon as possible. Highlights ? Denture ingestion or aspiration is a multidisciplinary problem. ? Fixed dentures are also at high risk of ingestion or aspiration in case of their spontaneous or traumatic dislodgement. ? Clinical presentation of denture ingestion is very different depending on the site of impaction and complications. ? Patients with loose dentures should visit dentist as early as possible.
机译:简介义齿的摄取或抽吸是一个需要预防,及早诊断和适当治疗等方面的专业知识的问题,包括牙医,外科医生,耳鼻喉科医生,麻醉师等。吞咽假牙的并发症包括空心脏器坏死,穿孔,穿透邻近器官导致瘘管,出血和阻塞。病例介绍第一个病例是一名54岁的女性,在入院前约22?h跌倒时意外吞下了可伸缩单齿义齿,并出现了急性小肠梗阻的临床表现。病人进行了剖腹手术,肠切开术并取回了异物。第二例是一名31岁的男性,他在进食时意外摄入固定的单齿假体,从而影响了回盲瓣。在准备结肠镜检查期间,义齿会随粪便自然排出。讨论在心理神经功能缺损,酗酒和吸毒的患者中,义齿的摄入更为普遍。在健康和年轻的人群中,义齿的摄入很少。两名报道的患者均未成年。因此,可移动或固定义齿的移位是摄食义齿的另一个危险因素。假牙撞击最常见的部位是食道。小肠撞击很少见。此外,在大多数报道的病例中,食入式假牙的肠蠕动小会导致肠穿孔小。在我们的第一种情况下,假牙摄入的并发症似乎是肠梗阻,这种情况更为罕见。结论固定义齿和可摘义齿均可能被误食。义齿松动会导致意外地摄取义齿。建议假牙松动的患者尽快去看牙医。强调 ?义齿的摄取或抽吸是一个多学科的问题。 ?如果固定义齿自发性或外伤性脱位,其摄入或吸入的风险也很高。 ?义齿食入的临床表现根据撞击部位和并发症的不同而有很大差异。 ?假牙松动的患者应尽早去看牙医。

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