Multiple foreign bodies causing an orocutaneous fistula of the cheek

Kim, Woo Ju; Kim, Woo Seob; Kim, Han Koo; Bae, Tae Hui

doi:10.7181/acfs.2018.00017

Cited by 4 publications

(9 citation statements)

References 8 publications

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“…Bone fixation is necessary if a fracture is present. Infection control by using appropriate antibiotics is also a key to success [1,2,6,7]. The treatment is complemented by appropriate resuscitative management (e.g., volume replacement and securing the airway) along with an evaluation of bleeding and airway obstruction [2].…”

Section: Discussionmentioning

confidence: 99%

“…Penetrating wounds to the face are cosmetically devastating and life-threatening injuries that often necessitate emergent management [1,2]. X-ray, ultrasonography, and computed tomography (CT) can be used to identify remaining foreign bodies requiring removal, but some foreign bodies may be difficult to detect depending on their type or size [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…In penetrating wounds, organic materials such as wood provide a more favorable environment for microorganisms to grow than metal materials, and are highly likely to cause infection and inflammation [2,4,5]. Therefore, it is important to remove the residual foreign body through a comprehensive and multidisciplinary approach in patients with penetrating wounds caused by organic materials.…”

Section: Introductionmentioning

confidence: 99%

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Residual foreign body inflammation caused by a lumber beam penetrating the facial region: a case report

Choi

Hwang

et al. 2023

Arch Craniofac Surg

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Penetrating wounds to the face are cosmetically devastating and can be life-threatening. If the foreign body causing the penetrating wound is a piece of wood, small remnants might be left behind after the initial treatment. A 33-year-old male patient presented to the emergency center after a piece of lumber pierced his face as a passenger in a traffic accident. The patient’s vital signs were stable, and emergency surgery was performed to remove the foreign body and repair the soft tissue. No noteworthy complications were seen after open reduction and internal fixation of the facial bone fractures. Seven months after the accident, the patient underwent scar revision along with full-thickness skin grafting for post-traumatic scars. After the surgery, pus-like discharge which was not previously present was observed, and the graft did not take well. A residual foreign body, which was the cause of graft failure, was found on computed tomography and the remaining foreign body was removed through revision surgery. The patient is receiving outpatient follow-up without any complications 6 months after surgery. This case demonstrates the importance of performing a careful evaluation to avoid missing a residual foreign body, especially if it is of wooden nature.Abbreviation: CT, computed tomography

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Residual foreign body inflammation caused by a lumber beam penetrating the facial region: a case report

Choi

Hwang

et al. 2023

Arch Craniofac Surg

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“…An orocutaneous fistula is a histopathological pathway from the oral cavity to the facial cutaneous surface. This refractory complication results in eating difficulties [ 19 , 33 , 34 ]. A previous study reported that patients with orocutaneous fistulas responded less to conservative treatment [ 11 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…A previous study reported that patients with orocutaneous fistulas responded less to conservative treatment [ 11 , 19 ]. Therefore, surgical intervention is considered effective [ 33 , 34 , 35 ]. In our study, 15 patients experienced this complication, and only surgical treatment was successful in improving their prognoses.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Treatment Outcomes and Pathological Features in Patients with Osteoradionecrosis: A Retrospective Study

Tadokoro¹,

Hasegawa²,

Takeda³

et al. 2022

IJERPH

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A standard treatment for osteoradionecrosis (ORN) has not yet been established because of the diversity. Therefore, identifying the risk factors for a poor prognosis is essential. This study retrospectively investigated the factors associated with the prognosis of ORN in 68 patients. Relevant clinical data of all patients were obtained. Of the patients, 16 who underwent extensive surgery underwent histopathological analysis. The necrotic changes of the anterior and posterior margins in the cortical and cancellous bones were investigated. Multivariate analyses showed statistically significant associations between poor prognosis in patients with ORN and high radiation dose (hazard ratio [HR] 1.15), orocutaneous fistula (HR 2.93), and absence of sequestration (HR 2.49). Histopathological analysis showed a viable anterior margin of the middle portion of the cortical bone for all recovered cases; in contrast, most cases (75%) with a poor prognosis showed necrotic changes. The anterior margin of the cancellous bone was viable and resilient to high irradiation, regardless of the prognosis. These results suggest that patients with orocutaneous fistula should receive early surgical intervention, even if the affected area is limited or asymptomatic. In extensive surgery, a sufficient safety margin of necrotic bone, particularly in the anterior region, is required to improve the prognosis.

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Management of Maxillofacial Trauma in Attempt Suicide Patients During COVID-19 Pandemic

Riyadh

Abdulrazaq

2021

Journal of Craniofacial Surgery

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The maxillofacial surgeon trained well to face the surgical challenges. In case of dealing with self-inflicted trauma, the surgeon must face the surgical as well as the psychological status of the patients. Five patients received in the emergency room suffering from maxillofacial trauma resulted from suicidal attempts. Unfortunately, 1 patient died, the other patients managed by providing surgical and psychological support. The cornerstone of managing such type of trauma needs appropriate communication between the family, surgical team, and the psychiatric.

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Multiple foreign bodies causing an orocutaneous fistula of the cheek

Cited by 4 publications

References 8 publications

Residual foreign body inflammation caused by a lumber beam penetrating the facial region: a case report

Residual foreign body inflammation caused by a lumber beam penetrating the facial region: a case report

Factors Associated with Treatment Outcomes and Pathological Features in Patients with Osteoradionecrosis: A Retrospective Study

Management of Maxillofacial Trauma in Attempt Suicide Patients During COVID-19 Pandemic

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