A Baby Feeding Nipple: Simple, Cost effective, and Safe Technique for Removal of Denture
07 August 2019 (online)
Introduction: Denture ingestion occurs commonly in the elderly and frequently impacted in the esophagus due to the sharp edges. This can lead to serious complications such as perforation. We are describing here a simple, cost effective and safe technique for removal of dentures.
Material and methods: We used a handmade hood protector made from baby feeding nipple with rat-toothed forceps to safely remove ingested denture in two middle aged patients. Both patients had subcutaneous emphysema.
Results: Dentures were removed successfully in both patients. Following denture removal, endoscopic examination of the esophagus did not show any sign of mucosal damage, ulceration, bleeding, or perforation.
Conclusion: We successfully and safely removed denture from the stomach using handmade hood designed from a baby feeding tube. It may be beneficial for wide visual field and safety. It is an easy, effective, and safe design for the removal of sharp foreign bodies like dentures.
- 1 Toshima T, Morita M, Sadanaga N. et al. Surgical removal of a denture with sharp clasps impacted in the cervicothoracic esophagus: report of three cases. Surg Today 2011; 41 (09) 1275-1279
- 2 Rohida NS, Bhad WA. Accidental ingestion of a fractured Twin-block appliance. Am J Orthod Dentofacial Orthop 2011; 139 (01) 123-125
- 3 Nandi P, Ong GB. Foreign body in the oesophagus: review of 2394 cases. Br J Surg 1978; 65 (01) 5-9
- 4 Bandyopadhyay SN, Das S, Das SK, Mandal A. Impacted dentures in the oesophagus. J Laryngol Otol 2014; 128 (05) 468-474
- 5 Singh P, Singh A, Kant P, Zonunsanga B, Kuka AS. An impacted denture in the oesophagus-an endoscopic or a surgical emergency-a case report. J Clin Diagn Res 2013; 7 (05) 919-920
- 6 Chua YK, See JY, Ti TK. Oesophageal-impacted denture requiring open surgery. Singapore Med J 2006; 47 (09) 820-821
- 7 Dalvi AN, Thapar VK, Jagtap S. et al. Thoracoscopic removal of impacted denture: report of a case with review of literature. J Minim Access Surg 2010; 6 (04) 119-121
- 8 Mizuno KI, Takahashi K, Tominaga K. et al. Endoscopic removal of ingested dentures and dental instruments: a retrospective analysis. Gastroenterol Res Pract 2016; 2016: 3537147
- 9 Seo YS, Park JJ, Kim JH. et al. Removal of press-through-packs impacted in the upper esophagus using an overtube. World J Gastroenterol 2006; 12 (36) 5909-5912
- 10 Bertoni G, Sassatelli R, Conigliaro R, Bedogni G. A simple latex protector hood for safe endoscopic removal of sharp-pointed gastroesophageal foreign bodies. Gastrointest Endosc 1996; 44 (04) 458-461
- 11 Kao LS, Nguyen T, Dominitz J, Teicher HL, Kearney DJ. Modification of a latex glove for the safe endoscopic removal of a sharp gastric foreign body. Gastrointest Endosc 2000; 52 (01) 127-129
- 12 Lin LF. Condoms used to assist difficult endoscopic removal of impacted upper esophageal foreign bodies. Adv Dig Med 2016; 3: 24-27