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 Eraser Rhinolith: A Case Report

2019 ◽  
Author(s):  
Hesam Jahandideh ◽  
Farideh Hosseinzadeh
Keyword(s):  
Mental Retardation ◽  
Foreign Body ◽  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Left Nasal Cavity ◽  
Round Shape ◽  
Psychiatric Problems

Abstract- Nasal foreign bodies are usually received in otolaryngology practice. Although more frequently seen in pediatric patients, also they can affect adults, specifically those with mental retardation or any psychiatric problems. We presented an unusual case of the nasal foreign body, an eraser rhinolith in a 17-year-old boy with mild mental retardation presented with long-lasting nasal obstruction but no chronic infection or epistaxis. Computed tomography revealed a peripherally calcified sub-mucosal round mass in the left nasal cavity. After surgery, a round shape foreign body that looked like an eraser piece was removed from the nasal cavity. Rhinolith can present just with nasal obstruction. With properly diagnosed and appropriate surgery, all rhinoliths can be removed and complication of extraction can be minimized

scholarly journals Accuracy of ultrasonography in detecting radiolucent soft-tissue foreign bodies

2014 ◽  
Vol 24 (02) ◽  
pp. 196-200
Author(s):  
Morteza Tahmasebi ◽  
Hamdollah Zareizadeh ◽  
Azim Motamedfar
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
High Frequency ◽  
Foreign Bodies ◽  
Linear Array ◽  
Foreign Body Removal ◽  
Retained Foreign Body ◽  
Array Transducer ◽  
Highly Sensitive ◽  
Objective Detection

Abstract Background and Objective: Detection of radiolucent soft-tissue foreign bodies is a challenging problem, which is especially further complicated when retained foreign body is highly suggested by clinicians but radiography is negative. So, blind exploration is sometimes hazardous for patients. The purpose of this study was to determine the accuracy of ultrasonography (USG) in detecting radiolucent soft-tissue foreign bodies in the extremities. Materials and Methods: From November 2011 to January 2012, patients with clinically suspected radiolucent soft-tissue foreign body and negative radiography were evaluated by USG with a 12-MHz linear array transducer. The patients with positive clinical and USG examination were included in our study and underwent exploration or USG removal. Results: Fifty-one patients underwent foreign body removal under ultrasonography-guided or surgical exploration and 47 patients had foreign body (31, 12, 3, and 1 case had thorn, wood, glass, and plastic, respectively). Ultrasound was positive in 50 patients. USG falsely predicted the presence of foreign body in four cases and was falsely negative in one of the cases. Accuracy, sensitivity, and positive predictive value were determined as 90.2%, 97.9%, and 92%, respectively. Conclusions: The real-time high-frequency USG is a highly sensitive and accurate tool for detecting and removing radiolucent foreign bodies which are difficult to be visualized by routine radiography.

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.

scholarly journals Intraoperative Use of C-Arm Fluoroscope for Location of Foreign Body in Maxillofacial Surgery: Series of Cases

2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1685504
Author(s):  
Manoj Kumar Bhaskaran ◽  
Joseph Lijo ◽  
Arjun Shenoy ◽  
Chinmay Vasant Rao
Keyword(s):  
Foreign Body ◽  
Real Time ◽  
Foreign Bodies ◽  
Intraoperative Imaging ◽  
Maxillofacial Surgery ◽  
Cost Effective ◽  
Effective Technique ◽  
Intraoperative Computed Tomography ◽  
Computed Tomography Scanning ◽  
Cost Effective Technique

The practice of maxillofacial surgery commonly entails working in anatomically confined boundaries with restricted access that can easily lead to instrument and foreign body slippage into deeper tissue planes and, rarely, be aspirated. The use of postoperative adjunctive radiographic techniques has long been used to locate any such misplaced foreign bodies to attempt removal or track their passage through the alimentary tract. The use of intraoperative computed tomography scanning has recently gained momentum; but the set up may not be easily available in all the operation theaters. As such, a definitive cost-effective technique to locate such objects remains elusive. The authors intend to share their experience with the use of the C-Arm fluoroscope for the purpose of real-time intraoperative location and attempted removal of foreign bodies in three patients. The C-Arm fluoroscope can thus be used as a cost-effective technique for real-time intraoperative imaging, compared with more expensive techniques.

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.

scholarly journals Nasal foreign bodies: our experience

2021 ◽  
Author(s):  
Rakesh Sharma ◽  
Abhishek Malhotra
Keyword(s):  
Foreign Body ◽  
Nasal Cavity ◽  
Foreign Bodies ◽  
Nasal Discharge ◽  
Microsoft Excel ◽  
Nasal Bridge ◽  
Jammu And Kashmir ◽  
Foreign Body Removal ◽  
Medical College ◽  
History Of

Background: The experience of a mother of a child with a foreign body stuck in its nasal cavity can be quite panicky and horrifying. The nasal foreign bodies are one of the commonest emergencies in the department of otorhinolaryngology. The common foreign body objects that are removed from the nasal cavity includes beads, pencil butts, peas or other grains, seeds, sponge, stones, paper bits, erasers, metallic objects, crayons, batteries.Methods: An observational prospective study was performed at the department of otorhinolaryngology, government medical college, Kathua, Jammu and Kashmir. In this study we examined 120 cases of foreign body nose that had presented to us from March 2019 up to March 2020. Once detected a written consent was obtained from the patient’s attendants after duly explaining the involved risks to the child. Thereafter the foreign bodies were removed using appropriate instruments. Microsoft Excel tool were used to analyze and interpretate the data.Results: Amongst the 120 patients, there were 23 adults and 97 children under 10 years. Study included 72 males and 48 females. The 86 patients had a clear history of foreign body insertion. The 12 patients were brought to our OPD with history of a long standing unilateral nasal discharge. The 12 patients had presented with history of epistaxis. Eight patients had presented with headache and recurrent episodes of rhinorrhea. Two cases presented with symptoms of pain over the nasal bridge and swelling.  In our study 86% of the patients were brought with a history of foreign body insertion and only 14% a foreign body was detected when the child had presented to the outpatient department with nasal complaints. Amongst the patients 88 of them (74%) had presented with foreign bodies in their right nostril.Conclusions: Any history of insertion of a foreign body inside the nose should be thoroughly investigated. Appropriate clinical examination and diagnostic nasal endoscopy (wherever indicated) should be done. Appropriate instrument should be selected and used for foreign body removal.

scholarly journals Foreign Bodies in the Oral and Maxillofacial Region: Report of Two Cases

2011 ◽  
Vol 23 ◽  
pp. 630-632
Author(s):  
Anil Ghom ◽  
Manjari Gupta ◽  
Poonam Khatri ◽  
Anshul Khandewal ◽  
FM Debta
Keyword(s):  
Foreign Bodies ◽  
Maxillofacial Region ◽  
Oral And Maxillofacial Region

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

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.

scholarly journals Autogenous Platelet Rich Plasma in Healing of Bone Defects

JMS SKIMS ◽  
2013 ◽  
Vol 16 (2) ◽  
pp. 90-94 ◽  
Author(s):  
Altaf H Malik ◽  
Ajaz A Shah ◽  
Rubeena Tabasum ◽  
Irshad Ahmad ◽  
Manzoor Ahmad
Keyword(s):  
Bone Growth ◽  
Platelet Rich Plasma ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Maxillofacial Region ◽  
Group A ◽  
Oral And Maxillofacial Region ◽  
Group B ◽  
Regeneration Of Bone

Purpose: To evaluate the efficacy of PRP in regeneration of bone in defects of the oral and maxillofacial region. Methods: A comparative nonrandomized study including 40 patients with bony defects of cystic origin   in the maxillofacial region was carried out in the Department of Oral and Maxillofacial Surgery. Patients were divided into two groups: group A received PRP and in group B PRP was not used. Postoperatively, the patients were monitored regularly by radiographs to evaluate new bone growth at 1st  ,3rd and 6th month clinically and radiographically. Results: Faster bone healing in was observed in the patients in whom PRP was used at every follow up. Conclusion: Defects filled with PRP showed comparatively earlier and faster bone regeneration. JMS 2013;16(2):90-94

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

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.

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