ENCAPSULATION OF METALLIC SOFT-TISSUE FOREIGN BODIES WITH A LONG CARRIER LIFE

Sumary. The aim is to investigate the features of pathogenesis in capsule formation around metallic foreign bodies of soft tissues. Materials and methods. The results of a study of 6 patients with metallic foreign bodies of soft tissues with a carrier period of 16 to 50 years were analyzed. 3 injured had foreign bodies of gunshot origin and 3 patients had foreign bodies as a result of personal injury. Used clinical, laboratory, instrumental, histological, immunohistochemical, X-ray spectrometric studies. Results. All foreign soft tissue bodies were removed with the capsule. By gender: 5 men and 1 woman. By localization - the lower extremity. Pain was present in all the victims. Radiography and ultrasound were informative, magnetodetection is informative only at the superficial location of a foreign body. The foreign bodies were made of gray cast iron and steel needle wire. Histologically, immunohistochemically and radiospectrometrically, it has been found that the capsule formation around the foreign body is affected by the mechanism and extent of damage to the soft tissues, the composition of the metal and its coating, and the carrier term of the foreign body. Conclusions. Depending on the composition of the metal and its coating, there is a different rate of oxidation of the foreign body in the soft tissues: oxidation of metal foreign bodies of fire origin is faster. The formation of the capsule around the foreign body is affected by the mechanism of tissue damage: when the needle penetrates, the soft tissues are destroyed minimally, in the case of gunshot wounds, they are destroyed more. Spectral analysis data in conjunction with morphological studies are the basis for the removal of a foreign body of inflammatory origin along with the capsule.

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A CLINICAL CASE OF REMOVING A RESIDUAL FOREIGN BODY FROM THE LEFT SUPRACLAVICULAR REGION

Inter Collegas ◽

10.35339/ic.4.3.120-122 ◽

2017 ◽

Vol 4 (3) ◽

pp. 120-122

Author(s):

V.V. Boyko ◽

V.V. Makarov ◽

A.L. Sochnieva ◽

V.V. Kritsak

Keyword(s):

Surgical Treatment ◽

Foreign Body ◽

Soft Tissue ◽

Clinical Case ◽

Foreign Bodies ◽

Soft Tissues ◽

Life Quality ◽

The Other ◽

Practical Case ◽

The One

Boyko V.V., Makarov V.V., Sochnieva A.L., Kritsak V.V.Residual foreign bodies in soft tissues are one of the main causes of chronical infection lesions and decrease in life quality. Surgical treatment is the most common way to relieve the patient from a foreign body. Often there is a question whether to remove a foreign body? On the one hand, all foreign bodies that are in the human body must be removed. On the other hand, in the absence of symptoms, the risk of surgery performed for the purpose of removal exceeds the risk associated with finding the foreign body. We would like to describe a practical case of removing a foreign body (Kirschner`s wires) from the left supraclavicular region. The young patient lived with a fragment of Kirschner's wire left after the osteosynthesis of the fractured clavicle for 5 years. Surgery to remove the residual foreign body was successful. On the 7th postoperative day the patient was discharged from the hospital under the supervision of surgeons at the place of residence.Key words: foreign body in soft tissue, Kirschner`s wire, surgical treatment. КЛІНІЧНИЙ ВИПАДОК ВИДАЛЕННЯ ЗАЛИШКОВ СТОРОННЬОГО ТІЛА З ЛІВОЇ НАДКЛЮЧИЧНОЇ ОБЛАСТІБойко В.В., Макаров В.В., Сочнева А.Л., Крицак В.В.Залишкові чужорідні тіла м'яких тканин залишаються однією з основних причин виникнення вогнища хронічної інфекції та зниження рівня якості життя. Хірургічне лікування основний спосіб позбавити хворого від наявності чужорідного агента. Часто виникає питання чи видаляти чужорідне тіло. З одного боку, усі сторонні тіла, що знаходяться в тілі людини, підлягають видаленню, з іншого боку при відсутності симптомів ризик операції, проводимої з метою видалення, перевищує ризик, пов'язаний з перебуванням чужорідного тіла. Ми хотіли б поділитися випадком видалення залишкового стороннього тіла (спиці Кіршнера) лівої надключичної ділянки із власної практики. Молода пацієнтка прожила з уламком спиці Кіршнера, залишеної після металлоостеосинтезу поламаної ключиці протягом 5 років. Операція з видалення залишкового стороннього тіла пройшла успішно. На 7 післяопераційну добу пацієнтка була виписана зі стаціонару під спостереження хірурги за місцем проживання.Ключові слова: чужорідне тіло м'яких тканин, спиця Кіршнера, хірургічне лікування. кЛИНИЧЕСКИЙ СЛУЧАЙ УДАЛЕНИЯ ОСТАТКОВ ИНОРОДНОГО ТЕЛА ИЗ ЛЕВОЙ ПОДКЛЮЧИЧНОЙ ОБЛАСТИ Бойко В.В., Макаров В.В., Сочнева А.Л., Крицак В.В.Остаточные инородные тела мягких тканей остаются одной из основных причин возникновения очага хронической инфекции и снижения уровня качества жизни. Хирургическое лечение основной способ избавить больного от наличия чужеродного агента. Часто возникает вопрос удалять ли инородное тело? С одной стороны, все инородные тела, находящиеся в теле человека, подлежат удалению, с другой стороны при отсутствии симптомов риск операции, производимой с целью удаления, превышает риск, связанный с нахождением инородного тела. Мы хотели бы поделится случаем удаления остаточного инородного тела (спицы Киршнера) левой надключичной области из собственной практики. Молодая пациентка прожила с обломком спицы Киршнера, оставленной после металлоостеосинтеза поломанной ключицы в течении 5 лет. Операция по удалению остаточного инородного тела прошла успешно. На 7 послеоперационные сутки пациентка была выписана из стационара под наблюдение хирурги по месту жительства.Ключевые слова: инородное тело мягких тканей, спица Киршнера, оперативное лечение.

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Retained Metallic Foreign Body in Cheek: A Diagnostic and Surgical Challenge

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1153 ◽

2013 ◽

Vol 4 (2) ◽

pp. 107-109

Author(s):

Varsha Sunil Manekar ◽

Ankush Chavan

Keyword(s):

Foreign Body ◽

Soft Tissue ◽

Unusual Case ◽

Foreign Bodies ◽

Soft Tissues ◽

Metallic Foreign Body ◽

Industrial Accidents ◽

Traumatic Injuries ◽

Orofacial Region ◽

Head Neck

ABSTRACT Foreign body lodged in the soft tissue is fairly common in the vehicular or industrial accidents. Traumatic injuries in orofacial region often drive foreign bodies in the soft tissues. The immediate closure of the soft tissue wounds become the emergency treatment for the control of bleeding. The foreign body may sometimes remain unnoticed. The purpose of reporting this unusual case of metallic foreign object in the cheek is to highlight the difficulties in detection of foreign bodies and discuss its clinical management. We also discuss the usefulness of various imaging modalities for assessment of its nature, location, size, shape and relation to vital structures. How to cite this article Manekar VS, Chavan A. Retained Metallic Foreign Body in Cheek: A Diagnostic and Surgical Challenge. Int J Head Neck Surg 2013;4(2):107-109.

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Foreign Body (Bamboo Splinter of Broom Stick) in Soft Tissue

TAJ Journal of Teachers Association ◽

10.3329/taj.v20i1.3095 ◽

1970 ◽

Vol 20 (1) ◽

pp. 67-70 ◽

Cited By ~ 1

Author(s):

MA Kasem Pramanik ◽

Joydeep Bhaduri ◽

AM Rashid ◽

M Nazmul Hasan

Keyword(s):

Foreign Body ◽

High Resolution ◽

Soft Tissue ◽

Foreign Bodies ◽

Soft Tissues ◽

Cost Effective ◽

Daily Practice ◽

Radiation Hazard ◽

X Ray ◽

High Resolution Ultrasonography

Patients with foreign bodies inside soft tissues are common in a surgeon's daily practice,. Radio-opaque foreign bodies can easily be located with radiography but radio-lucent foreign bodies cannot be located with X-ray, where Ultrasonography especially, high resolution ultrasonography can be used to locate it. Ultrasonography, being easily available, cost-effective and radiation-hazard free, can be done repeatedly for foreign bodies which move inside tissues. The presenting article describes a patient with a radio-lucent foreign body, deep inside muscle in his fore-arm and having one sharp end, was advancing inside tissues, was located with the help of Ultrasonography and was removed. doi: 10.3329/taj.v20i1.3095 TAJ 2007; 20(1): 67-70

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Wooden Foreign Bodies in CT

Acta Radiologica ◽

10.1177/028418519503600207 ◽

1995 ◽

Vol 36 (2) ◽

pp. 148-151 ◽

Cited By ~ 12

Author(s):

J. Pyhtinen ◽

E. Ilkko ◽

S. Lähde

Keyword(s):

Foreign Body ◽

Soft Tissue ◽

Foreign Bodies ◽

Soft Tissues ◽

Gas Bubble ◽

Bone Fragment ◽

Peak Enhancement ◽

Water Logging ◽

Wooden Foreign Body ◽

Orbital Region

CT findings in 2 patients with a wooden foreign body in the orbital region soft tissue, and a series of CT measurements of wooden elements are presented. The wooden foreign bodies presented low HU numbers in CT and were initially interpreted as a gas collection. Different species of trees presented a large spectrum of densities, varying from the −550 HU of pine up to the +289 HU of ebony. The density of a spruce plank increased along with water-logging from −470 HU to −86 HU in 4 weeks, and peak enhancement up to 106 HU was found in the layer closest to the surface. It was concluded that a wooden foreign body in soft tissues may present CT patterns simulating materials as different as a gas bubble or a bone fragment.

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Accuracy of ultrasonography in detecting radiolucent soft-tissue foreign bodies

Indian Journal of Radiology and Imaging ◽

10.1055/s-0041-1734408 ◽

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.

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Organization of stage rehabilitation of servicemen with gunshot defects of soft tissues at the levels of medical care

Medicni perspektivi (Medical perspectives) ◽

10.26641/2307-0404.2021.4.248228 ◽

2021 ◽

Vol 26 (4) ◽

pp. 188-195

Author(s):

K.D. Babov ◽

I.P. Khomenko ◽

S.V. Tertyshnyi ◽

Babova I.K. Babova I.K. ◽

R.S. Vastianov

Keyword(s):

Surgical Treatment ◽

Soft Tissue ◽

Medical Care ◽

Soft Tissues ◽

Lower Extremities ◽

Gunshot Wounds ◽

Care Quality ◽

Rehabilitation Service ◽

Soft Tissue Defects ◽

Tissue Defects

Building a modern system of rehabilitation of servicemen in Ukraine is an integral part of providing medical care in armed conflict. Rehabilitation of servicemen after gunshot wounds with soft tissue defects of the lower extremities is a common but difficult problem for surgical and rehabilitation teams. The process of rehabilitation requires the implementation of certain methodological provisions. At present, medical care for servicemen is a four-levels’ one. Rehabilitation service is provided at the third and fourth levels of medical care. The aim of the study was to improve the quality of medical care for servicemen after gunshot wounds with soft tissue defects of the lower extremities by introducing a system of staged rehabilitation. Organizational and methodological bases of the system of staged rehabilitation of wounded servicemen with soft tissue defects at different levels of medical care have been developed. Two models of rehabilitation depending on the severity of the injury and the tactics of surgical treatment are proposed. The division of the stage of early sanatorium rehabilitation for the wounded with severe soft tissue injuries depending on the stage of surgical treatment and the formation of a "skin patch" is justified. The introduction of the proposed models of rehabilitation of wounded with soft tissue defects in the practice of early sanatorium rehabilitation will provide increasing of medical care quality.

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Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series

Veterinární Medicína ◽

10.17221/18/2019-vetmed ◽

2020 ◽

Vol 65 (No. 2) ◽

pp. 49-55

Author(s):

S Manfredi ◽

G Covi ◽

M Bonazzi ◽

G Gnudi ◽

M Fumeo ◽

...

Keyword(s):

Soft Tissue ◽

Minimally Invasive ◽

Foreign Bodies ◽

Soft Tissues ◽

Companion Animals ◽

Case Series ◽

Invasive Technique ◽

Surgical Removal ◽

Small Animals ◽

Ultrasound Guided

Foreign bodies (FBs) retained in the subcutaneous tissues are a common reason for medical consultation. In small animals, FBs usually consist of vegetal materials, especially grass awns. Failure to remove the FBs is likely to give rise to acute or late complications. The surgical removal of the FBs can be invasive, costly and technically challenging. Ultrasound has become a mainstay in the detection of FBs and it can be used to guide the extraction of the FBs with a minimally invasive technique. This study describes the detection and extraction of soft-tissue FBs in small animals. One hundred-sixty-two patients, presenting at two veterinary clinics with suspected FBs retained in the soft tissues of various body districts, were considered. Once an ultrasound diagnosis was established, the ultrasound-guided removal of the FB was performed. A high-frequency linear transducer, a skin disinfection, sedation or anaesthesia was used when needed and a scalpel and some Hartmann forceps were also used. One hundred-eighty-two FBs were successfully removed in all the patients. In six cases, the FB was identified during a second ultrasonographic examination, after recurrence of the fistula. No complications were reported after the procedure. The extraction of the FB was performed in an echographic suite in 138 cases and in a surgery room with surgical intervention in 24 cases. In the latter situation, the surgical minimally invasive dissection of tissues under ultrasound guidance was performed before the removal of the FB. In conclusion, the ultrasound-guided removal of the FBs retained in the superficial soft tissue can be considered a good alternative to surgery. However, failure to remove a FB does not preclude the removal by traditional surgery.

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Fish Bone Migrating into the Thyroid Gland

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1179 ◽

2014 ◽

Vol 5 (1) ◽

pp. 42-44

Author(s):

Jay Kantilal Kotecha

Keyword(s):

Foreign Body ◽

Soft Tissue ◽

Thyroid Gland ◽

Foreign Bodies ◽

Fish Bone ◽

Left Lobe ◽

Rare Phenomenon ◽

Head Neck

ABSTRACT Many cases have been reported in the literature about foreign bodies lodged in the hypopharynx. A foreign body penetrating the esophagus and migrating into the soft tissue of neck is a rare phenomenon. We report a case of 35 years male who ingested a fish bone which then migrated into left lobe of thyroid and the role of imaging in its detection and management. How to cite this article Kotecha JK. Fish Bone migrating into the Thyroid Gland. Int J Head Neck Surg 2014;5(1):42-44.

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Stage Reconstructive and Restorative Surgical Treatment of Gunshot Wounds of the Groin, Scrotum and Penis (Case Report)

Health of Man ◽

10.30841/2307-5090.3.2021.246214 ◽

2021 ◽

pp. 85-90

Author(s):

Serhii Golovko ◽

Oleksandr Savytskiy ◽

Oleksandr Netrebko ◽

Yevhen Bidula ◽

Volodymyr Bondarchuk

Keyword(s):

Surgical Treatment ◽

Gunshot Wound ◽

Foreign Bodies ◽

Soft Tissues ◽

Gunshot Wounds ◽

Soft Tissue Defects ◽

Initial Stage ◽

The Right ◽

Upper Third ◽

Tissue Defects

The frequency of external genital lesions in armed conflicts can reach up to 5%. The complexity of gunshot wounds is the presence of significant soft tissue defects, widespread necrosis around the wound, the possibility of progression in the hours and days after injury, the high probability of infection, and the presence of foreign bodies. The tactics of gunshot wounds are determined by the location, nature and extent of damage to soft tissues, organs, large vessels, nerves, bones and includes several stages. At the initial stage, bleeding is stopped, hematomas and foreign bodies are evacuated, non-viable tissues are removed, drainages are installed and skin defects are closed. The stage of reconstructive surgery can be started when the active wound process is over. In this report, we present a clinical case of a 22-year-old man who received a gunshot wound to the right groin, upper third of the right thigh, perineum and external genitalia in a combat zone of Operation Allied Forces, Ukraine. Bullet wound led to: damage to the skin and subcutaneous tissue in the right buttock, right groin, on the inner surface of the upper third of the thigh, penis (skin defect up to 1/3 of the circumference), scrotum, partial destruction of corpora cavernosa, m. iliopsoas and adductor muscles of the thigh, sphincter of the rectum, crushing of the right testicle. The wound was contaminated with earth and foreign bodies At the initial stage, the patient underwent: primary surgical treatment of a gunshot wound, suturing of cavernous bodies with sutures, fixation of the penis in the groin, removal of the right testicle, tamponade of the wound, sigmostomy (due to sphincter damage). Subsequently, the patient underwent regular surgical treatment of wounds, a vacuum suction system VAC was installed. After 7 months (upon completion of the healing process) suturing of the sigmostoma was performed. After 2 months, the penis and the scrotum were reconstructed. Preoperative examination (ultrasound of the penis with assessment of cavernous hemodynamics, MRI) revealed: post-traumatic scarring of the soft tissues of the right groin, inner surface of the right thigh, buttocks, right inguinal canal of the penis and scrotum, deformation of the cavernous cavity, normal indicators of cavernous blood circulation. In the early postoperative period (2 months after the intervention), the patient indicated satisfaction with the cosmetic and functional results, the preservation of morning erections, moderate discomfort in the penis during erection. Prosthetics of the right testicle are planned. The clinical case once again confirms the need for qualified surgical care during the first “golden” hour and subsequent phased treatment at a specialized level using the VAC therapy system in patients with gunshot wounds and large soft tissue defects. The experience of military medicine demonstrates the importance of involving specialists of various profiles in the treatment of combined gunshot wounds of the pelvis. An important stage of treatment in the wounded is plastic and reconstructive surgery in the long term, which is aimed at improving the functional, cosmetic and psychological results of treatment.

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

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720200002720180074 ◽

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.

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