Disfagia como forma infrecuente de presentación de cuerpo extraño laríngeo. Diagnóstico endoscópico.

TRADUCCIÓN
Resumen(en)

We report the case of a 50 year old male, admitted to the emergency service for high dysphagia and sore throat, not coughing nor showing shortness of breath, probably caused by the accidental ingestion of his dental prosthesis.

The patient underwent a lateral radiograph of the neck, with no findings and an indirect laryngoscopy, which was reported as normal. But due to the persistence of symptoms the patient underwent an upper endoscopy, during which the endoscope was introduced under direct vision without noticing changes in the pharyngo-esophageal segment, and no evidence of foreign bodies in esophagus, stomach or duodenum were found. However, during the pullback maneuver the dental prosthesis was observed located in the left vallecula, as well as a clear swelling of both arytenoids (Figures 1-4). The removal of the prosthesis was carried out by the otolaryngologist on call in the operating room, under general anesthesia and after tracheal intubation.