A 60-year-old woman with autism and a repetitive swallowing behavior ingested a removable partial denture that impacted in the proximal esophagus. Attempts at endoscopic removal were unsuccessful. Esophageal perforation was recognized, necessitating emergency transcervical surgical exploration, esophagotomy with foreign body removal, and repair of the esophageal perforation. She had a prolonged postoperative stay involving mechanical ventilatory support and gastric tube feeds. This situation was predictable and preventable, and application of key principles may help avoid such catastrophic incidents in similar patients.
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- Foreign bodies in the gastrointestinal tract.Curr Opin Pediatr. 2006; 18: 563-564
- Swallowed dentures: two cases and a review.Ann Med Surg. 2015; 4: 407-413
- “Where are my teeth?” A case of unnoticed ingestion of a dislodged fixed partial denture.Anesth Analg. 2009; 109: 836-838
- Management of foreign bodies of the upper gastrointestinal tract: update.Gastrointest Endosc. 1995; 41: 39-51
- Foreign body esophagus: when endoscopic removal fails.Indian J Otolaryngol Head Neck Surg. 2013; 65: 380-382
- Foreign bodies of dental origin in the air and food passages.Int J Oral Maxillofac Surg. 1986; 15: 739-751
- Impacted dentures in the oesophagus.J Laryngol Otol. 2014; 128: 468-474
- Autism spectrum disorders and oral health status: review of the literature.Eur J Paediatr Dent. 2020; 21: 9-12
- Pica as a feature of autism.Br J Psychiatry. 1985; 147: 80-82
- Increasing compliance with wearing a medical device in children with autism.J Appl Behav Anal. 2020; 53: 1089-1096
- Swallowed partial dentures.J R Soc Med. 2004; 97: 72-75
- Rotational path removable partial denture: a literature review.J Indian Prosthodont Soc. 2007; 7: 143-146
Published online: August 15, 2021
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
© 2021 by the Editorial Council for the Journal of Prosthetic Dentistry.