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Neglected foreign body infratemporal fossa, a typical presentation: a case report
Mir Sajad1, Masood A Kirmani, A R Patigaroo
1Department of ENT, SKIMS MC Bemina, Srinagar, Jammu and Kashmir India.
Summary
A neglected foreign body in the infratemporal fossa caused a discharging sinus and trismus in a young male. Prompt diagnosis and removal are crucial for managing such rare ENT emergencies.
Area of Science:
- Otolaryngology
- Trauma Surgery
- Infectious Disease
Background:
- A 25-year-old male presented with left zygomatic swelling and a discharging sinus.
- The swelling initially resembled a furuncle and progressed to a draining sinus with trismus.
Observation:
- The patient had a history of trauma to the left zygomatic area 4 months prior.
- A pointed stick caused the initial injury, with its tip reportedly removed at that time.
Findings:
- Diagnostic imaging revealed a neglected foreign body within the infratemporal fossa.
- The foreign body was identified as the cause of the chronic infection and associated symptoms.
Implications:
- This case highlights the importance of thorough history taking in trauma cases.
- Delayed diagnosis of foreign bodies can lead to severe complications like deep space infections.
- Surgical intervention is necessary for the complete resolution of neglected foreign body complications.

