Application of a digital guide in the removal of foreign body from the maxillofacial region

ABSTRACT The anatomic complexity of the maxillofacial region makes the retrieval of foreign bodies a daunting task for the maxillofacial Surgeon. Moreover the inability of 2-dimensional imaging to precisely locate foreign bodies makes it challenging. The anatomic proximity of critical structures and esthetic considerations limits the access and thus poses a greater challenge for the surgeon in cases of foreign body retrieval. Hereby we propose a simple technique and a case report to support, the retrieval of small (<5 mm greatest dimension) objects from the maxillofacial region. The present technique uses a 2 dimensional mobile C arm Fluoroscopy and a needle triangulation method to precisely locate a loosened miniplate screw in the mandibular angle region. How to cite this article Pandyan D, Nandakumar N, Qayyumi BN, Kumar S. C-Arm Fluoroscopy: A Reliable Modality for Retrieval of Foreign Bodies in the Maxillofacial Region. J Contemp Dent Pract 2013;14(6):1193-1196.

Download Full-text

An unusual wooden foreign body in the face: a case report

Revista Odonto Ciência ◽

10.15448/1980-6523.2017.1.22782 ◽

2017 ◽

Vol 32 (1) ◽

pp. 50

Author(s):

Gilberto Leal Grade ◽

Roberta Dalmolin Bergoli De Almeida ◽

Leandro Calcagno Reinhardt ◽

Marcos Antonio Torriani

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Emergency Services ◽

Anatomical Site ◽

Initial Examination ◽

Diagnostic Challenge ◽

Maxillofacial Region ◽

Level Of Consciousness ◽

The Face ◽

Wooden Foreign Body

Although injuries with the presence of foreign bodies in the maxillofacial region are relatively common in urgency and emergency services, they still pose a diagnostic challenge that is related to several factors, such as type of trauma, foreign body material, patient’s level of consciousness and anatomical site involved. A third of foreign bodies in the face are not detected upon initial examination and may remain in deep tissues until they are accidentally encountered by imaging tests for other purposes or until the patient shows symptoms such as pain or swelling. This article reports a case of a 9 cm piece of wood extracted from a patient’s middle third region of the left midface after 30 days of trauma occurrence, with associated infection suggesting a clinical picture of neoplasia.

Download Full-text

Retained Foreign Body in the Nasal Cavity After Oral Maxillofacial Surgery

Anesthesia Progress ◽

10.2344/anpr-65-01-07 ◽

2018 ◽

Vol 65 (2) ◽

pp. 111-112

Author(s):

Masanori Tsukamoto ◽

Jun Hirokawa ◽

Takeshi Yokoyama

Keyword(s):

Foreign Body ◽

Nasal Cavity ◽

Pressure Ulcer ◽

Foreign Bodies ◽

Maxillofacial Surgery ◽

Maxillofacial Region ◽

Retained Foreign Body ◽

Oral And Maxillofacial Region ◽

Nasal Pressure ◽

Materials Used

Retained foreign bodies sometimes occur in various surgical procedures and can lead to severe complications. Foreign bodies in the oral and maxillofacial region are not rare because of the use of many small items and the natural communication with the outside environment in some areas. We experienced a case of foreign body in the nasal cavity, which was discovered 1 year later at a second operation for hardware removal after maxillofacial surgery. A small, soft material is usually placed between the nasal endotracheal tube and nostril to avoid nasal pressure ulcer at the ala of nose after prolonged anesthesia after our group's experiencing some cases of this complication. The foreign body was found in the pharynx during induction of a second anesthesia. Attention should be directed to not leaving any materials in the patient after surgery. In addition to the normal counts of sponges, needles, etc, other small nonsurgical materials used should be recorded by medical staff to help ensure nothing is retained in the patient.

Download Full-text

Long-Standing Blades of Scissors in Paranasal Sinus Over 40 Years

Journal of Rhinology ◽

10.18787/jr.2020.00323 ◽

2020 ◽

Vol 27 (2) ◽

pp. 132-134

Author(s):

Ji-Eun Choi ◽

Hack Jung Kim ◽

Seung-Kyu Chung

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Foreign Bodies ◽

Metallic Foreign Body ◽

Middle Meatus ◽

Maxillofacial Region ◽

X Ray ◽

Computed Tomography Scans ◽

Wait And See ◽

Over 40 Years

Foreign bodies in the sinus are rare entities that are often associated with trauma. This paper presents a case of a metallic foreign body that was retained without any symptoms for over 40 years. A skull X-ray and computed tomography scans showed blades of scissors inside the maxillary sinus, extending to the middle meatus without affecting vital structures. The foreign body was successfully removed by an endoscopic approach. There were no complications during and after the surgery. The presence of retained foreign bodies in the maxillofacial region is rarely discussed in previous publications. This manuscript focuses on the asymptomatic period of this foreign body and aims to discuss the necessity and feasibility of a wait-and-see approach in selected cases.

Download Full-text

An Unusual Pediatric Case of Allen Key Penetrating Trauma in Maxillofacial Region

Case Reports in Radiology ◽

10.1155/2018/5086154 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Feride Fatma Görgülü ◽

Orhan Görgülü ◽

Ayşe Selcan Koç ◽

Fatma Yasemin Öksüzler

Keyword(s):

Foreign Body ◽

Ct Scan ◽

Maxillary Sinus ◽

Paranasal Sinus ◽

Foreign Bodies ◽

Penetrating Trauma ◽

Endoscopic Examination ◽

Maxillofacial Region ◽

Pediatric Case ◽

X Ray

Paranasal sinus (PNS) foreign bodies are not common. They are usually due to penetrating trauma and iatrogenic events. On imaging, radiopaque foreign bodies can easily be detected by X-ray views of PNS. CT scan may be necessary to evaluate the exact location of foreign body in some cases. Foreign body in the PNS should be removed as early as possible. Approach and technique of its removal depend upon its size, shape, and location. Nasal endoscopic examination can be helpful for these cases. We present a pediatric girl case of penetrating FB injury inserted into the maxillary sinus towards nasopharynx in a suddenly braking car.

Download Full-text