An Unusual Laryngeal Foreign Body in Adult: Denture

Deoni Daniswara (1), Rizka Fakhriani (2)
(1) Universitas Muhammadiyah Yogyakarta,
(2) Universitas Muhammadiyah Yogyakarta

Abstract

Background: Foreign bodies in the larynx are reported quite rarely, with a prevalence of around 4% among patients, especially geriatrics, and represent an acute airway emergency with significant morbidity and mortality rate. Objective: This case report aimed to provide information on managing the extraction of foreign bodies and the accompanying problems. Discussion: A 49-year-old man with a history of wearing dentures was admitted to the emergency room. The patient complained of a hoarse voice upon waking up, painful swallowing, and a lumpy sensation in his throat, but he had no chest pain, cough, nausea, or vomiting. An indirect laryngoscopy examination revealed a foreign body lodged in the anterior rima glottis, impeding the mobility of the vocal folds. Under general anesthesia, emergency direct laryngoscopy, evacuation, and tracheoscopy were performed. It was observed that a foreign denture body was lodged in the larynx and was evacuated using grasping forceps. Post-evacuation, the vocal folds were swollen, with a false vocal fold hematoma, posterior subglottic laceration, and no active bleeding. Conclusion: Foreign bodies in the larynx must be prompted and gently removed because it leads to life-threatening. In suspected swallowed foreign bodies, plain radiographs are the initial imaging approach. Inhalational or intravenous induction is operated to administer the general anesthetic, along with the maintenance of spontaneous ventilation.

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Authors

Deoni Daniswara
Rizka Fakhriani
rizkafakhriani@umy.ac.id (Primary Contact)
Author Biographies

Deoni Daniswara, Universitas Muhammadiyah Yogyakarta

Departement of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta

Rizka Fakhriani, Universitas Muhammadiyah Yogyakarta

Departement of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta
Daniswara, D., & Fakhriani, R. (2023). An Unusual Laryngeal Foreign Body in Adult: Denture. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya, 7(2). https://doi.org/10.30651/jqm.v7i2.13984

Article Details

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