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<p>Esophagus is the second commonest (46.8%) site of foreign body impaction in the gastro-intestinal tract. Denture impaction in the esophagus is a common otolaryngology emergency that imposes challenges to the surgeon and can have devastating consequences when diagnosis and treatment are delayed. We present the case of a 47&#xa0;year old male with history of psychiatric illness who developed a esophago-cutaneous fistula in the neck after open esophagotomy for impacted denture removal. The fistula persisted for over three years, requiring Ryle’s tube feeding. Definitive reconstruction using a radial forearm free flap (RAFF) following microvascular reconstructive technique successfully restored esophageal continuity and oral nutrition. This case underscores the importance of early diagnosis and optimum management of impacted esophageal foreign bodies. In cases with esophageal fistulas with poor local tissue quality, RAFF provides an effective and durable reconstructive option.</p>

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Delayed Presentation of Esophagocutaneous Fistula Following Denture Impaction and Extraction: A Challenge to the Reconstructive Surgeon

  • 期刊论文

  • 发表日期：

    2025年6月16日

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  • Gaurab Ranjan Chaudhuri,
  • Akhilesh Humnekar,
  • Sourabh Shankar chakraborty,
  • Dipmalya Chatterjee,
  • Amit Kumar Roy,
  • Rajarshi Basu,
  • Mainak Mallik,
  • Shrimoyee Roy

摘要

Esophagus is the second commonest (46.8%) site of foreign body impaction in the gastro-intestinal tract. Denture impaction in the esophagus is a common otolaryngology emergency that imposes challenges to the surgeon and can have devastating consequences when diagnosis and treatment are delayed. We present the case of a 47 year old male with history of psychiatric illness who developed a esophago-cutaneous fistula in the neck after open esophagotomy for impacted denture removal. The fistula persisted for over three years, requiring Ryle’s tube feeding. Definitive reconstruction using a radial forearm free flap (RAFF) following microvascular reconstructive technique successfully restored esophageal continuity and oral nutrition. This case underscores the importance of early diagnosis and optimum management of impacted esophageal foreign bodies. In cases with esophageal fistulas with poor local tissue quality, RAFF provides an effective and durable reconstructive option.