Textiloma of the frontal bone twenty years after craniotomy for Apert syndrome

Dimitrakopoulos, Ioannis; Ntomouchtsis, A.; Lazaridis, Nikolaos

doi:10.1016/j.jcms.2010.04.001

Cited by 6 publications

(2 citation statements)

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“…Gossypibomas can mimic neoplasms and space‐occupying mass lesions which may cause some difficulties in diagnosis. The differential diagnosis should be based on the clinical history of each case and should include but not be limited to the following: tumours, radiation necrosis, abscess, haematoma and foreign‐body reactions.…”

Section: Discussionmentioning

confidence: 99%

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Gossypiboma following mandible surgery: a case report and review of the literature

Jamjoom

Kallukaran

2013

Oral Surgery

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Background: Gossypiboma, a foreign-body granuloma induced by a retained surgical sponge, has rarely been reported in relation to the facial bones. The aim of this article is to draw attention to this potentially serious complication. Case presentation: A 37-year-old Middle Eastern female reported to the clinic because of pain, mild swelling and paraesthesia in the anterior mandible area. Her symptoms started 2 years earlier shortly after chin implant surgery that was complicated by a local infection requiring removal of the implant. On clinical examination, there was mild swelling and tenderness in the anterior mandible region. A panoramic radiograph, a computed tomography (CT) scan and magnetic resonance imaging (MRI) showed bilateral well-defined cystic lesions in the parasymphyseal area of the mandible. The patient underwent trephine bone biopsy followed by complete excision of the lesion. Histopathological examination revealed foreign-body granuloma with foreign bodies consistent with gauze, typical findings of gossypiboma. The patient made unremarkable post-operative recovery and her preoperative symptoms subsided completely. Conclusion: Gossypiboma is a rare complication of mandibular surgery. It should be considered in patients with persistent post-operative complaints. CT scan and MRI are the imaging methods of choice in suspected cases. Complete surgical excision is adequate to alleviate the patient's symptoms.

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Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only seven cases have so far been reported in relation to the facial bones, of which five were in the mandible, one in the maxillary sinus and one in the frontal bone.…”

Section: Introductionmentioning

confidence: 99%