Author(s)

Isaac Okyere^1,2*, Sanjeev Singh^2,3, Perditer Okyere^2,4, Antwi Kusi^2,3, Samuel Gyasi Brenu¹

¹Cardiovascular and Thoracic Surgery Unit, Directorate of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
²School of Medicine and Dentistry, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
³Directorate of Anaesthesia and Intensive Care, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
⁴Renal Unit, Directorate of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

We present the case of a 46-year old man with a two-year history of losing his denture presenting with cachexia and a two-month history of dysphagia to both liquids and solids associated with odynophagia. Review at the ENT department where a diagnostic rigid oesophagoscopy was done under general anaesthesia showed a denture impacted to the wall of the oesophagus at 17 cm from the incisor. Attempts at retrieval were unsuccessful as the denture was deeply embedded in the oesophageal wall and bled easily on attempted removal. He subsequently underwent a 2-stage surgical management approach by the cardiothoracic surgical team. Patient first underwent nutritional rehabilitation for a month through a created feeding gastrostomy tube via a limited midline laparotomy. He then had a open cervical oesophagotomy and removal of the denture. Currently doing well six months after surgery and tolerating normal oral diet.

Impacted Oesophageal Denture, Surgery, Cervical Oesophagotomy, Feeding Gastrostomy

Okyere, I., Singh, S., Okyere, P., Kusi, A. and Brenu, S.G. (2020) Cervical Oesophagotomy and Removal of an Impacted Oesophageal Denture: Case Report and Literature Review. Surgical Science, 11, 177-186. doi: 10.4236/ss.2020.117020.