Gossypiboma in the oral region: case report and literature review

Abstract

Gossypiboma is an inflammatory reaction to a foreign body, specifically composed of a cotton matrix left behind after surgery. The present study aims to present a case report of gossypiboma 23 years after a dental surgery and to make a literature review of the English language cases published on the issue. A 42-year-old woman was attended to evaluate complaints of pain on the right side of the maxilla. The patient reported that dental extractions in this region had been performed over a period of nearly 23 years. The panoramic radiograph demonstrated an opacity in the right maxillary sinus, which presented a spongiform aspect, irregularly shaped radiopaque image, as well as a rupture of the maxillary sinus’s lower cortical layer. A surgical excision was performed, and the histopathological diagnosis was of gossypiboma. Six similar cases have also reported of gossypiboma in the oral region; however, calcification was only identified in the present case report. The patient is currently undergoing follow-up and has presented no complaints of pain or recurrence. Key words:Gossypiboma, textiloma, muslinoma, gauzoma, oral region.

Paranasal gossypiboma mimicking an aggressive tumor: a case report

“…Using the keywords “gossypiboma” and “paranasal sinuses,” only five case reports were found on PubMed. They are listed in the reference section of this article . All the patients whose cases were reported in those articles had undergone surgery on the maxilla prior to the appearance of the symptoms: Three of them benefitted from a Caldwell–Luc approach, one underwent a tooth extraction and the last one benefitted from a cyst enucleation of the maxilla using an unknown approach.…”

“…Gossypiboma or textiloma defines a mass inside the body composed of retained surgical gauze or sponge surrounded by an inflammatory foreign body reaction . Very few cases involving the maxillary sinuses were reported . The authors describe a case of a cancer‐like gossypiboma of the paranasal sinus that extended to the nasal fossa, the orbit, and the oral cavity.…”

Misdiagnosed paranasal gossypiboma: a 10-year experience with 21 cases at a tertiary center

“…Thus, taking into account the amount of ma typically shows a core of degenerating hemostatic agent surrounded by an inflammatory reaction that includes giant cells, granulomas, collagen deposition, reactive vascular proliferation, and fibroblastic proliferation (4) . Fibers from cotton pledgets are characteristically identified by their hollow, cylindrical profiles under H&E staining (24,25) .…”

Maxillofacial Gossypiboma: Case Report, Review of the Literature, and Diagnosis Algorithm

“…Gossypiboma is a term used for a retained surgical sponge, and it represents a rare complication [1][2][3] with an uncertain incidence probably due to medical-legal implications [2,4]. The word is derived from the combination of the Latin word 'gossypium' for 'cotton' and the Swahili word 'boma' for 'place of concealment' [2][3][4][5]. It can be defined as a mass within the body composed of cotton matrix, which usually refers to a forgotten wound dressing surrounded by a foreign body reaction [4,5].…”

“…The word is derived from the combination of the Latin word 'gossypium' for 'cotton' and the Swahili word 'boma' for 'place of concealment' [2][3][4][5]. It can be defined as a mass within the body composed of cotton matrix, which usually refers to a forgotten wound dressing surrounded by a foreign body reaction [4,5]. While the medical literature has previously described cases of this entity after surgery procedures, gossypibomas in oral and maxillofacial region are rare [2].…”