Saturday, January 10, 2009

Where's Mah Teef?


MDOD has a post with a CT demonstrating a removable partial denture lodged in the pharynx.
http://docsontheweb.blogspot.com/2009/01/grandpa-wont-eat.html


Based on personal experience, and a quick surf of the literature, there are numerous reported cases of this with sequalae ranging from dysphagia and difficulty breathing to esophageal or colon perforation, some of which have resulted in death.
http://www.ncbi.nlm.nih.gov/pubmed/18278709?dopt=Abstracthttp://www.ajnr.org/cgi/reprint/28/9/1734.pdf

Inadvertently swallowing dentures is a big deal. Dentures are one of those items that should be accounted for regularly by the nursing home staff.

Dentures should also be labeled. I have also seen several cases where dentures were collected by staff for a "mass" cleaning and disinfection. It was a crap shoot as to whether the patients got correct ones back. Ownership was determined by best fit.

1 comment:

platensimycin said...

OUCH! gotta do better than that.

"Ownership was determined by best fit" - LOL