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Unusual foreign body in mid face.

Abhay N Datarkar1, Madhumati Dhawad1, Ajay Deshpande1

  • 1Department of Oral and Maxillofacial Surgery, Swargira Dadasaheb Kalmegh Dental College and Hospital, Hingna, Nagpur, 442 002 Maharashtra India.

Journal of Maxillofacial and Oral Surgery
|April 4, 2015
PubMed
Summary

A large, horizontally lodged foreign body in the maxilla and nasal cavity was successfully removed using the Lefort I osteotomy approach. This surgical technique proved effective for complex cases where standard methods might be insufficient.

Keywords:
Foreign body in the maxillaLefort I osteotomy

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Area of Science:

  • Otolaryngology
  • Oral and Maxillofacial Surgery
  • Medical Imaging

Background:

  • Foreign bodies in the maxillary sinus and nasal cavity present diagnostic and therapeutic challenges.
  • Surgical approaches like Caldwell-Luc operation and endoscopic sinus surgery are commonly employed for removal.
  • The size and exact location of the foreign body significantly influence the choice of surgical strategy.

Observation:

  • A unique case involving a large, exploded fragment lodged horizontally in the posterior maxilla, extending into both maxillary sinuses and the nasal cavity.
  • The foreign body's substantial size and extensive location posed significant challenges for conventional removal techniques.
  • Standard endoscopic or Caldwell-Luc approaches were deemed potentially inadequate due to the foreign body's dimensions.

Findings:

  • Successful retrieval of the large foreign body was achieved using the Lefort I osteotomy surgical approach.
  • This method provided adequate access and visualization for managing the complex anatomical involvement.
  • The Lefort I osteotomy demonstrated its efficacy in cases where less invasive techniques might fail.

Implications:

  • The Lefort I osteotomy is a viable and effective surgical option for managing large, complex foreign bodies within the maxillary sinus and nasal cavity.
  • This case highlights the importance of tailoring surgical approaches to the specific characteristics of the foreign body and its anatomical location.
  • Further consideration of advanced surgical techniques is warranted for challenging sinonasal foreign body retrievals.