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

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.

Retained Wooden Foreign Body in a Child's Parotid Gland: A Case Report

1998 ◽  
Vol 77 (2) ◽  
pp. 140-143 ◽  
Author(s):  
Audie L. Woolley ◽  
Lee T. Wimberly ◽  
Stuart A. Royal
Keyword(s):  
Foreign Body ◽  
Parotid Gland ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Radiologic Diagnosis ◽  
Diagnostic Challenge ◽  
Experienced Surgeon ◽  
Wooden Foreign Body ◽  
Current Guidelines ◽  
Review Current

Foreign bodies can present a diagnostic challenge to even the experienced surgeon. In one review of 200 surgical cases involving retained foreign bodies, one-third of the cases had been initially missed.1 Wooden foreign bodies in particular pose a challenge to the physician. In the review cited above, only 15% of wooden foreign bodies were well visualized on plain radiographs.1 Acutely, on computed tomography (CT) scans, wooden foreign bodies will usually mimic air.2 However, with time, the attenuation value of a wooden foreign body may increase as moisture is absorbed from the surrounding tissues.3 Once this occurs, the wooden foreign body may mimic fat, water or muscle.2 We present an interesting case of a wooden foreign body in the parotid gland in order to illustrate a common presentation of such a foreign body, to review current guidelines for their clinical and radiologic diagnosis, and to suggest strategies for the management of their unique complications.

scholarly journals Denture Impaction Causing an Upper Esophageal Diverticulum

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Shireen Samargandy ◽  
Hani Marzouki ◽  
Talal Al-Khatib ◽  
Mazin Merdad
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
The Elderly ◽  
Barium Swallow ◽  
Diagnostic Challenge ◽  
Case Presentation ◽  
History Of ◽  
Endoscopic Diverticulotomy ◽  
Tomography Scan ◽  
Rule Out

Background. Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians. Case Presentation. A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated. Conclusion. The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.

Detection of Foreign Bodies using Ultrasound: A Possible Pitfall

1994 ◽  
Vol 2 (1) ◽  
pp. 35-38 ◽  
Author(s):  
Bing Siang Gan ◽  
Lawrence N Hurst ◽  
H Brian Evans ◽  
Donal Downey
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Hand Surgery ◽  
Diagnostic Ultrasound ◽  
Clinical Suspicion ◽  
Ultrasound Scanning ◽  
Flexor Tendons ◽  
Anatomical Localization ◽  
Wooden Foreign Body ◽  
Exploratory Surgery

Recently, a number of reports have brought the use of ultrasound scanning in the detection of foreign bodies to the field of hand surgery. A case is presented in which ultrasound was not able to diagnose the presence of a large (3.5 × 0.5 × 0.5 cm) nonradiopaque wooden foreign body lying between the flexor tendons of the forearm. However, embedded in ultrasound gel, the piece could readily be identified. This report serves as a reminder that the anatomical localization of a foreign body amid structures with vastly different echogenicity from its surroundings (such as flexor tendons of the hand and forearm) may reduce the usefulness of diagnostic ultrasound and that in such circumstances clinical suspicion may be a more reliable indication for exploratory surgery.

ORBITOCRANIAL WOODEN FOREIGN BODY

Neurosurgery ◽  
2009 ◽  
Vol 65 (2) ◽  
pp. E383-E384 ◽  
Author(s):  
Ian F. Dunn ◽  
Dong H. Kim ◽  
Peter A. Rubin ◽  
Russell Blinder ◽  
Jonathan Gates ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Foreign Body ◽  
Orbital Apex ◽  
Low Velocity ◽  
Traumatic Injuries ◽  
Foreign Objects ◽  
Superior Orbital Fissure Syndrome ◽  
The Face ◽  
Wooden Foreign Body ◽  
Low Threshold

Abstract OBJECTIVE Intraorbital wooden foreign bodies—usually from a low-velocity puncture—are elusive and demand a low threshold for further imaging. In patients with traumatic injuries, orbital and intracranial air from fractures may be present, and it is particularly easy to overlook a wooden fragment Clinical Presentation A 53-year-old equestrian was kicked in the face by the rear hoof of a horse. The event was captured on video by her husband. Although no obvious entry point in and around the eye was observed, her ocular examination was notable for superior orbital fissure syndrome and increasing intraocular pressure in the left eye. Closer inspection revealed a 5-mm laceration above her superior lid margin; imaging revealed a foreign body at the orbital apex with apparent communication with the cranial vault. Intervention We proceeded with cranio-orbital exploration because of the risk of continued ocular damage in the setting of increasing intraocular pressure and the potential for infection of both the eye and the intracranial space from a suspected foreign body. A 3.0 cm × 0.5 cm fragment was found lodged in the orbital apex and removed. CONCLUSION The patient recovered well after surgery and a course of antibiotics and has returned to riding. This case report presents an algorithm for approaching cranio-orbital foreign objects of unclear identity and the favorable outcomes that may be achieved.

scholarly journals Removal of firearm projectile from the maxillary sinus: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Cristóvão Marcondes de Castro RODRIGUES ◽  
Izabella SOL ◽  
Daniela MENESES-SANTOS ◽  
Larissa Gonçalves Cunha RIOS ◽  
Jonas Dantas BATISTA ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Maxillary Sinus ◽  
Local Anesthesia ◽  
Paranasal Sinuses ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Hard Tissues ◽  
The Face ◽  
Maxillary Sinuses

ABSTRACT Foreign bodies in the paranasal sinuses after critical accidents are rare occurrences that have sporadically been reported worldwide. Firearm projectiles, daggers, knives, glass fragments, stones, teeth, and wood can get lodged in the soft and hard tissues of the face. The management and prognosis in these cases depend on the composition and location of the foreign body as well as on the presence or absence of infection. Although there are reports involving the soft tissues of the face, the ethmoid, sphenoid, frontal, and maxillary sinuses are the most frequently involved sites. The main manifestation of this condition is sinusitis arising from infection and/or inflammation caused by the foreign body, which is a contaminated object. We report a case of removal of a firearm projectile located in the maxillary sinus of a 34-year-old patient under local anesthesia.

scholarly journals C-Arm Fluoroscopy: A Reliable Modality for Retrieval of Foreign Bodies in the Maxillofacial Region

2013 ◽  
Vol 14 (6) ◽  
pp. 1193-1196 ◽  
Author(s):  
Deepak Pandyan ◽  
N Nandakumar ◽  
Burhanuddin N Qayyumi
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Simple Technique ◽  
Mandibular Angle ◽  
Maxillofacial Region ◽  
Foreign Body Retrieval ◽  
Triangulation Method ◽  
Daunting Task ◽  
Present Technique

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.

Beware of chicken bones: An uncommon presentation of a foreign body in the palate

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 115-117
Author(s):  
Dinesh Martin ◽  
Candy Naraynsingh
Keyword(s):  
Foreign Body ◽  
3D Imaging ◽  
Foreign Bodies ◽  
Diagnostic Challenge ◽  
Uncommon Presentation ◽  
Animal Bone ◽  
Atypical Clinical Presentation ◽  
Foreign Body Impaction ◽  
Odontogenic Lesion ◽  
Radiographic Presentation

This paper describes a case of an intra-osseous foreign body impaction in the hard palate, a chicken bone fragment, in an adult male. The presentation mimicked that of an odontogenic lesion. Though palatal soft tissue foreign bodies in toddlers are well reported, the literature is sparse on cases involving adults. The location of the foreign body, and radiographic presentation, resulted in a diagnostic challenge to the attending clinician. This appears to be the first reported case of an animal bone presenting in this way in an adult. CPD/Clinical Relevance: The case highlights the importance of credible history reporting, 3D imaging and developing accurate differentials in the diagnostic pathway when faced with an atypical clinical presentation.

scholarly journals Retained Foreign Body in the Nasal Cavity After Oral Maxillofacial Surgery

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.

scholarly journals Intraorbital Wooden Foreign Body: A Case Report

2015 ◽  
Vol 3 (3) ◽  
pp. 119-121 ◽  
Author(s):  
Sanjeeta Sitaula ◽  
Vijay Gautam
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Good Prognosis ◽  
Ocular Motility ◽  
Intravenous Antibiotics ◽  
Severity Of Injury ◽  
Orbital Problems ◽  
Life Threatening ◽  
History Of ◽  
Wooden Foreign Body

Intraorbital foreign bodies are one of the commonly encountered orbital problems. They may be sight threatening due to the severity of injury or its complications and even life threatening if not managed appropriately. We present a case of a 24-year old female with history of fall injury from a tree with an impacted intraorbital wooden foreign body. The patient was treated with prophylactic intravenous antibiotics and prompt removal of the foreign body was done under general anesthesia in the operation theatre. The post operative visual recovery was excellent with significant improvement of ocular motility and limited improvement of ptosis. Hence even organic foreign bodies can have good prognosis with timely intervention.DOI: http://dx.doi.org/10.3126/jkmc.v3i3.12248Journal of Kathmandu Medical CollegeVol. 3, No. 3, Issue 9, Jul.-Sep., 2014, Page: 119-121

Oesophageal foreign body: an unusual presentation

2013 ◽  
Vol 127 (12) ◽  
pp. 1242-1243 ◽  
Author(s):  
M Oyewole ◽  
O Ajayi ◽  
A Hilger
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Foreign Bodies ◽  
Emergency Services ◽  
Correct Diagnosis ◽  
Clinical Signs ◽  
General Anaesthetic ◽  
Upper Respiratory Tract ◽  
Lateral Chest ◽  
Upper Respiratory

AbstractObjective:This paper describes and discusses the case of an oesophageal foreign body, in which the patient presented with primarily respiratory clinical signs.Case report:A 17-month-old child, who had ingested a watch battery, presented to emergency services on multiple occasions with upper respiratory tract symptoms. Subsequent radiographs showed the battery in the oesophagus impinging on the trachea. The battery was removed successfully under a general anaesthetic.Conclusion:Large oesophageal foreign bodies can impinge on the trachea causing upper respiratory tract signs. In such cases, anteroposterior and lateral chest films are imperative to make a correct diagnosis.

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