Man dentures stuck in throat at James Paget Hospital

An X-ray of the man's throat where his dentures were stuck

The man's case brings attention to the risks of leaving dentures in the mouths of patients undergoing surgeries that require general anesthesia, wrote the article's author, Harriet A. Cunniffe, an otolaryngologist at James Paget University Hospitals NHS Foundation Trust in the United Kingdom.

They got stuck in his throat - and were only discovered eight days later. And they sent him home with antibiotics and other drugs.

Six days later, he was in the emergency room.

However his symptoms worsened and, after two days of taking the prescribed medication, he was admitted to hospital with what doctors believed to be aspiration pneumonia - a severe chest infection that occurs when food, stomach acid or saliva is inhaled into the lungs. He told doctors he hadn't been able to swallow any of his prescribed medicines. They found a semi-circular object lying across his vocal cords, which had caused internal swelling and blistering, according to a report in the BMJ Case Reports medical journal.

When the doctors mentioned the object to the man, he said that his dentures had gone missing after his surgery eight days earlier. But six days later a bout of bleeding prompted his return. However, after six days, he had started to feel some pain and was struggling to swallow, so returned to A&E.

Nine days after he was discharged once more, he returned with further bleeding which required emergency surgery as the source of the bleed was a torn artery in the wound. Doctors eventually determined that the bleeding was due to internal wound tissue around the blistering caused by his false teeth.

But by this time the patient had lost so much blood that he required a blood transfusion. Now, as he told doctors that he couldn't swallow the medication and was still coughing blood, he spoke in a "hoarse breathy voice", according to the report.

Cunniffe, the report's author, wrote that the man's case "highlights a number of key learning points for anesthetists, theatre staff, emergency physicians and ear, nose and throat (ENT) surgeons alike", but noted that it is not the first of its kind.

The authors of the study wrote: "There are no set national guidelines on how dentures should be managed during anaesthesia, but it is known that leaving dentures in during bag-mask ventilation allows for a better seal during induction (when the anaesthetic is being infused), and therefore many hospitals allow dentures to be removed immediately before intubation (when a tube is inserted into the airway to assist breathing)".

The report concluded that all members of surgical teams must be aware of dentures before and after surgery, as well know what to do with them during the procedure.



Latest news

Former NBA player sentenced to 3.5 years for possessing loaded gun
In total, they found three loaded pistols, a gas-operated submachine gun, extended magazines, ammunition and the ballistic vest. Judge John Hecht responded to Telfair, telling him, "I'm not going to say very much, I've observed you throughout the trial".

Oslo Mosque Shooting Being Investigated as Possible Terrorist Attack
A court is expected to rule later today on a police request to detain the 21-year-old for the next several weeks. Police said the suspect was waving weapons while inside the mosque but did not specify what type.

Sydney stabbing: The heroes who tackled alleged knifeman after CBD attack
An eye witness caught Ney jumping on a auto and yelling "Allahu Akbar" and "shoot me" after the fell off the moving vehicle. One video shows him being pinned to the ground by members of the public while another showed him being led away by police.

'Friends' hitting the big screen this fall to celebrate 25th anniversary
The showings will take place across three nights: Monday, Sept. 23 , Saturday, Sept. 28 and Wednesday, Oct. 2 . Each of the episodes has supposedly been " remastered in 4K from the original 35mm camera negative".

Britain's GDP shrank 0.2% in April-June
Britain's economy shrank at a quarterly rate of 0.2%, the first contraction since 2012 and below all forecasts in a Reuters poll. Companies had been building up additional goods in the first quarter in anticipation of a March Brexit .

Other news