Removal of foreign body on cheek using endoscope and C-arm fluoroscopy

Yeong-Cheol Cho; Soo-Mi Jang; Soo-Won Park; Byung-Hwan Choi; Jin-Hee Ha; Jang-Ho Son; Iel-Yong Sung

doi:10.5125/jkaoms.2011.37.3.234

Journal List > J Korean Assoc Oral Maxillofac Surg > v.37(3) > 1032472

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Cho, Jang, Park, Choi, Ha, Son, and Sung: Removal of foreign body on cheek using endoscope and C-arm fluoroscopy

Original Article

J Korean Assoc Oral Maxillofac Surg 2011;37(3):234-236.

Published online: 10 January 2011

DOI: https://doi.org/10.5125/jkaoms.2011.37.3.234

Removal of foreign body on cheek using endoscope and C-arm fluoroscopy

Yeong-Cheol Cho¹, Soo-Mi Jang¹, Soo-Won Park¹, Byung-Hwan Choi¹, Jin-Hee Ha², Jang-Ho Son¹, Iel-Yong Sung¹

¹Department of Oral & Maxillofacial Surgery, University of Ulsan College of Medicine, Ulsan, Korea

²Department of Conservative Dentistry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea

Iel-Yong Sung Dept. of Oral Maxillofacial Surgery Ulsan University Hospital, University of Ulsan College of Medicine 290-3 Jeonha-dong, Dong-gu, Ulsan, 682-714, Korea TEL: +82-52-250-8829 FAX: +82-52-250-7236 E-mail: cmfs65@hotmail.com

Received 15 December 2010 Revised 23 May 2011 Accepted 31 May 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Traditional surgery to remove foreign bodies in the face carries a risk of postoperative morbidity with an injury to various anatomical structures, particularly the facial nerve and parotid duct and gland. Endoscopy can be a great aid in the removal of foreign bodies in the maxillofacial region. Surgical intervention using endoscope and/or intraoperative images can be minimized, allowing the safe and precise removal of foreign bodies, and saving operating time. We report a case of the use of an endoscope and C-arm fluoroscopy guidance system to remove a very small foreign body.

Keywords: Foreign body, Endoscope, C-arm fluoroscopy

References

1. Brinson GM, Senior BA, Yarbrough WG. Endoscopic management of retained airgun projectiles in the paranasal sinues. Otolaryngol Head Neck Surg. 2004; 130:25–30.

2. Udwadia RA, Maniar D, Acharya M. A transethmoid transorbital foreign body. J Laryngol Otol. 1994; 108:441–2.

3. Fallon MJ, Plante DM, Brown LW. Wooden transnasal intracranial penetration: an unusual presentation. J Emerg Med. 1992; 10:439–43.

4. Garces SM, Norris CW. Unusual frontal sinus foreign body. J Laryngol Otol. 1972; 86:1265–8.

5. Holmes PJ, Miller JR, Gutta R, Louis PJ. Intraoperative imaging techniques: a guide to retrieval of foreign bodies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 100:614–8.

6. Siessegger M, Mischkowski RA, Schneider BT, Krug B, Klesper B, Zo ¨ller JE. Image guided surgical navigation for removal of foreign bodies in the head and neck. J Craniomaxillofac Surg. 2001; 29:321–5.

7. Akhtar AJ, Funnye ′AS, Akanno J. Gunshot-induced plumbism in an adult male. J Natl Med Assoc. 2003; 95:986–90.

8. Yoon SK. Lead. Kim KW, Yoon SK, Jung YS, Choi SC, editors. Clinical toxicology. Seoul: Koonja publishing Inc;2006. p. 764–70.

9. Bhavsar MS. Technique of finding a metallic foreign body. Am J Surg. 1981; 141:305.

10. Varol A, Tu ¨rker N, Go ¨ker K, Basa S. Endoscopic retrieval of dental implants from the maxillary sinus. Int J Oral Maxillofac Implants. 2006; 21:801–4.

11. Dym H, Ogle O. An unusual case of an embedded foreign body in the face. N Y State Dent J. 2005; 71:30–1.

12. Awwad RJ, Goyal P, Emko P. Endoscopic transnasal approach for retrieval of foreign bodies from the pterygomaxillary fossa. Am J Otolaryngol. 2006; 27:440–2.

13. Thomas S, Daudia A, Jones NS. Endoscopic removal of foreign body from the anterior cranial fossa. J Larygol Otol. 2007; 121:794–5.

14. Pero CD, Nuss DW. Transnasal endoscopic removal of orbital, ethmoid sinus, and anterior skull base foreign body with mucocele formation. Skull Base. 2008; 18:417–22.

15. Neves RB, Yeatts RP, Martin TJ. Pneumo-orbital cyst after orbital fracture repair. Am J Ophthalmol. 1998; 125:879–80.

Fig. 1.

C-arm fluoroscopy was used to check the approximate location of the pellet.

Fig. 2.

The tip of endoscope was inserted into the wound and approached the pellet under the guide of C-arm fluoroscopy.

Fig. 3.

C-arm and endoscopic image show the pellet taken by the forcep.

Fig. 4.

7 days after removal of the pellet.

TOOLS

Similar articles