title: Denture impaction in the oesophagus experience of a young ENT practice in Nigeria.
abstract: BACKGROUND
  The effect of dental loss and associated desire to restore its function and aesthesis has led to an increase in the number of people wearing dentures. This study therefore reviews the cases of impacted acrylic dentures in the oesophagus.
  
  
  METHODS
  A retrospective review of patients that were managed for oesophageal denture impaction at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria, over an eight year period from 2005 to 2012.
  
  
  RESULTS
  A total of 14 patients (M:F 2.5:1). The age ranged from 32-75 years. Majority 64.3%) were 51 years and above. Over 70% presented early. Major presenting symptoms were throat pain (100%), odynophageal (92.9%) and dysphageal (78.6%). The radiographic findings were air entrapment (64.3%) and increase in prevertebral soft tissue shadow (78.6%). Majority (87.5%) were impacted at the upper (cervical) oesophagus. Over 78% had successful extraction with rigid oesophagoscopy. Two (14.3%) had spontaneous expulsion of the denture and 1 (7.1%) discharged himself against medical advice. Complications were mucosa tear (28.6%), laryngeal spasm/ airway obstruction (14.3%), mucosa oedema/ erythema (57.1%), neck abscess (7.1%).
  
  
  CONCLUSIONS
  Impaction of esophageal dentures is relatively common in our locality; most patients present early for medical attention and associated with successful rigid oesophagoscopies and denture extraction under GA, and generally good outcome. Education of the wearers of dentures was emphasized as a way of preventing dentures impaction.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, LAUTECH Teaching Hospital, Osogbo, Osun State, Nigeria.
authors.forename: Taiwo Olugbemiga
authors.initials: TO
authors.lastname: Adedeji
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, LAUTECH Teaching Hospital, Osogbo, Osun State, Nigeria.
authors.forename: Adedayo Olugbenga
authors.initials: AO
authors.lastname: Olaosun
authors.affiliation: Department of Surgery (ENT), College of Health Sciences, Olabisi Onabanjo University, Sagamu, Nigeria.
authors.forename: Olusola Ayodele
authors.initials: OA
authors.lastname: Sogebi
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, LAUTECH Teaching Hospital, Osogbo, Osun State, Nigeria.
authors.forename: James E
authors.initials: JE
authors.lastname: Tobih
mesh_terms: D000328:Adult; D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology; D003778:Dentures / Q000009:adverse effects*; D004945:Esophagoscopy / Q000379:methods*; D004947:Esophagus / Q000473:pathology*; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D012189:Retrospective Studies
keywords: Acrylic dentures; Nigeria; Oesophageal dental impaction; complications