Unusual Foreign Body in the Nasal Cavity of an Adult with Repaired Cleft Lip and Palate

Abstract

Intranasal foreign bodies arising from dental clinical practice, especially in patients with cleft lip and palate (CLP) occur rarely and are very scarce in the literature. This article reports an unusual case of a dental impression material presenting as a foreign body in the nasal cavity of an adult with repaired CLP who presented for dental prosthetic rehabilitation. To our knowledge, this is only the second report presenting nasal foreign body in a cleft patient arising due to a dental impression procedure.

Iatrogenic Rhinoliths: Exercise Caution When Undertaking Palatal-Dental Impressions in the Cleft Patient with an Incompetent Palate

“…We read with interest the recent case report of a symptomatic nasal foreign body arising in a male patient following a dental impression using a silicone elastomeric material in preparation for prosthetic rehabilitation (Ravikumar et al, 2015). The patient had presented with a repaired unilateral cleft lip and palate, and subsequent clinical assessment revealed a previously undiagnosed type IV Pittsburgh fistula (Smith et al, 2007).…”

Development and virtual validation of a novel digital workflow to rehabilitate palatal defects by using smartphone-integrated stereophotogrammetry (SPINS)

“…The conventional procedure of fabricating an obturator requires taking an impression of the upper dental arch and defected palate following a series of complex methods which are both technique sensitive and pose serious risks to the patient. Risks include dislodgement of impression material into the defect cavity, immunological reactions toward foreign body within a healing cavity and secondary infections necessitating hospitalisation 1 , 2 .…”

Evaluation of the Differences Between Conventional and Digitally Developed Models Used for Prosthetic Rehabilitation in a Case of Untreated Palatal Cleft

“…The conventional palatal obturator fabrication stages required for large clefts are riddled with challenges and complications ranging from iatrogenic dyspnea during impression-taking, foreign body residuary in the defect cavity to post-impression inflammatory changes requiring hospitalization (Jones and Drake, 2013; Ravikumar et al, 2015). While rapid prototyping and digital obturators bypass these issues, they introduce their own unique set of hurdles.…”