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Updated: Jun 19, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
10:42

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Published on: January 28, 2020

Gossypiboma after mandibular contouring surgery.

Seung Yong Song1, Jong Won Hong, Won Min Yoo

  • 1Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, 250 Seongsanno, Seodaemoon-Gu, Seoul, Republic of Korea.

The Journal of Craniofacial Surgery
|October 10, 2009
PubMed
Summary

Gossypiboma, a retained surgical sponge, can occur after mandibular contouring. Early recognition and removal are crucial to resolve symptoms like swelling and infection.

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Last Updated: Jun 19, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
10:42

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

Area of Science:

  • Plastic Surgery
  • Surgical Complications
  • Medical Case Reports

Background:

  • Gossypiboma, a retained foreign body, is rarely reported in plastic surgery, particularly after mandibular contouring.
  • Surgical sponges are used to control bleeding, increasing the risk of retained materials.
  • Delayed recognition of gossypiboma can lead to medicolegal issues.

Observation:

  • Three female patients developed gossypiboma after mandibular angle surgery between 1999-2007.
  • Symptoms included fever, swelling, tenderness, and purulent oral wound discharge.
  • Computed tomography (CT) scans and blood tests aided diagnosis.

Findings:

  • Surgical removal of gossypiboma resolved all patient symptoms.
  • Postoperative infection resolved completely after intervention.

Implications:

  • Gossypiboma should be suspected in patients with persistent symptoms after mandibular angle surgery.
  • CT scans are effective for detecting gossypiboma in such cases.
  • Preventative measures are essential to avoid retained surgical materials.