Foreign body in preauricular region

Area of Science:

• Oral and Maxillofacial Surgery
• Trauma Surgery
• Radiology

Background:

• Foreign bodies in the facial region present unique diagnostic and surgical challenges due to the proximity of vital anatomic structures.
• Accurate localization is crucial for safe removal, yet can be complicated even with advanced imaging.
• Facial trauma management requires careful consideration of potential embedded foreign materials.

Observation:

• A 42-year-old male presented with limited mouth opening and pain two days after a fall, with a healing preauricular injury.
• Intraoral examination revealed restricted mandibular mobility.
• Facial radiographs identified two radiopaque foreign bodies near the left mandibular condylar process.

Findings:

• Surgical removal of the foreign bodies was successfully performed under local anesthesia.
• Access to the foreign bodies was achieved through the existing facial injury.
• Post-removal assessment confirmed improved mouth opening and resolution of pain.

Implications:

• This case highlights the importance of thorough evaluation and imaging in facial trauma cases with suspected foreign bodies.
• Minimally invasive removal techniques, utilizing pre-existing wounds, can be effective in managing such injuries.
• Successful management restores facial function and alleviates patient discomfort, underscoring the need for specialized surgical expertise.