LAUSR

73-Year-old female patient, which presented to the emergency service with dyspnea, cough and hoarseness. Reference to an episode of choking at dinner the day before. Heimlich maneuvering was performed with food expulsion (meat), with transient improvement, but no dental prosthesis was found after the event. Chest radiograph shows dental prosthesis located on the laryngoesophageal transition at the C4–C7 level. The patient was submitted to endoscopic removal of the prosthesis in the operating room. Severe pharyngeal edema was detected (need for oro-tracheal intubation), and upper esophagus showed extensive superficial ulceration at the denture impaction site, without active hemorrhage. The patient was admitted to Intensive Care Unit. During the stay, the institution of corticotherapy and ibuprofen resulted in a decrease in pharyngeal edema, with a 48-h cuff-leak test compatible with arway permeability, which allowed successful extubation. On the thirteenth day she got discharged.