Text/Yangcheng Evening News All-Media Reporter Zhang Hua Correspondent Huang Yixin Photo/Provided by the hospital In life, people accidentally swallow bones and fish bones often occur, but it is rare to cause breathing and swallowing difficulties.

text/Yangcheng Evening News All-Media Reporter Zhang Hua

Correspondent Huang Yixin

Photo/Hospital provides

In life, people accidentally swallow bones and fish bones often happen, but it is rare to swallow dentures by mistake and dysphagia . Recently, experts from multiple disciplines from Guangdong Provincial Second People's Hospital (hereinafter referred to as "Provincial Second Medical") successfully removed the entire row of dentures stuck in the throat for a 97-year-old man. The process was full of twists and turns and thrilling.

97-year-old man had two days of sore throat. It turned out that his dentures were stuck in his throat

Mr. Lin, 97 years old this year, had a sore throat for two days recently. At first, he thought it was a cold and did not pay attention to it. Later, he had difficulty breathing and swallowing, but found that he accidentally swallowed the dentures and got stuck in his throat. In the local hospital of Pining , the doctor was unable to remove his dentures and was recommended to transfer to the provincial second hospital for treatment.

Guangdong Provincial Second People's Hospital Chief Physician Xiangjun performed an imaging examination for Mr. Lin, and the results showed that it was "foreign objects at the esophagus entrance". At the same time, Mr. Lin has many basic diseases. He has undergone surgery for pacemaker insertion and coronary heart disease stent insertion. Recently, he suffered a pubic fracture due to a fall, and his body was very weak. For older age and multiple diseases, the risk of surgery is higher.

Deng Zeyi, head and neck surgery department and chief physician of Guangdong Second People's Hospital, immediately believed that "the patient's symptoms of swallowing and breathing cannot be relieved, and there is a risk of severe infection such as esophageal perforation. If it is delayed, it will cause life danger. Therefore, foreign objects should be removed as soon as possible. At the same time, emergency rescue plans should be made to reduce potential risks."

Severe heart failure before surgery, increasing the difficulty of anesthesia at an advanced age

Uncle Lin did not eat for two days when he was admitted to the hospital, and his breathing was rapid and heart failure was critical. The doctor urgently provided him with ECG monitoring, oxygen inhalation, fasting, fluid replenishment, anti-infection and anti-heart failure symptomatic treatment.

ECG shows that Grandpa Lin has frequent atrial premature beats, short atrial tachycardia, and myocardial ischemia . At the same time, the pacemaker in his body has been used for 5 years, and he has not been able to follow up regularly, and his condition is unpredictable.

"Advanced patients under general anesthesia , various body functions will change, and the working status of pacemaker cannot be evaluated. In layman's terms, pacemaker is usually in a standby state. In case of arrhythmia , the pacemaker needs to be activated, but if the pacemaker is insufficient, it will be quite dangerous." Fu Xiangjun said.

So, Fu Xiangjun urgently asked the Critical Cardiology Department for consultation. The consultation opinion believes that the working status of the pacemaker is unknown and it takes 1-2 days to detect the battery power, and the patient may not be able to wait. After detailed communication with the patient's family, the team decided to face the difficulties and perform a foreign object removal surgery for Mr. Lin under general tracheal intubation.

There were many twists and turns during the operation. The doctor used visual laryngoscopy to pick up dentures

Sure enough, shortly after it was pushed into the operating room, and before the anesthesia began, Grandpa Lin experienced frequent ventricular arrhythmia. "The risk of cardiac function is high! Use lidocaine quickly!" chief physician in the Department of Anesthesiology Liao Xiuqing immediately instructed to give cardiac and anti-arrhythmia treatment. Only after emergency treatment did Grandpa Lin turn the danger into safety.

When the surgical team was preparing for tracheal intubation to ensure intraoperative oxygen supply, they encountered another problem: the dentures were stuck at the epiglottis valley and the piriform fossa, which was the "crossroads" between the airway and the esophagus, and it was difficult to lift the epiglottis, and it was difficult to intubate the tracheal intubation.

If the tracheal intubation cannot be used, the esophageal lens cannot be used, which means that the foreign object cannot be removed. At this time, Chief Physician Fu Xiangjun suggested that using a curved visual laryngoscope, he finally saw the target object - the denture.However, the dentures are located deep, and the main body of ordinary instruments is mostly straight, which does not conform to the arc structure behind the tongue, making it difficult to remove them. Chief physician Fu Xiangjun changed to using oval forceps , slowly moved out little by little, and finally took out a whole row of dentures of the "culprit". Fortunately, this denture is a mandibular denture with no metal hooks, and it did not obviously cut the mucosa of Mr. Lin's mouth and throat.

took Uncle Lin's dentures, which took two hours before and after the operation. After the operation, Mr. Lin swelled his epiglottis and woke up slowly. He was sent to ICU intensive care for treatment. The next day, his condition improved, so he returned to the general ward of ENT and head and neck surgery for treatment.

Doctor reminds: You should pay attention to these five points when wearing dentures

Fu Xiangjun reminds that the elderly must pay attention to the care of dentures when wearing dentures, because their feelings are reduced, and it is easy to cause dentures to fall off or even swallow them by mistake. If the dentures are hooked, swallowing them by mistake can cause serious consequences. Therefore, experts recommend:

1. Do not wear . Active dentures. . Eat sticky foods such as rice cakes, dumplings, and rice dumplings. Pay attention to chewing slowly when eating, especially when eating sticky foods, so as to avoid the dentures entering the esophagus by swallowing.

2. Remove the movable dentures before going to bed, and do not wear them to sleep.

3. Be careful when drinking water and taking medicine to avoid swallowing dentures together.

4. If the dentures worn are loose or damaged, you must go to the hospital for treatment in time.

5. The elderly who have experienced cerebrovascular accidents and patients with intellectual disabilities or mental illness must be cautious when using active dentures. (For more news, please follow Yangchengpai pai.ycwb.com)

source | Yangcheng Evening News·Yangchengpai

Editor | Chen Hui