Management of retained foreign bodies in missile injuries of the maxillofacial region

This study evaluates 22 patients with retained foreign bodies in the maxillofacial region that were all caused by penetrating missile injuries. Surgical intervention for the retrieval of the foreign bodies was carried out in 20 patients through the existing wounds and through separate incisions; all...

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Veröffentlicht in:The Journal of craniofacial surgery 2011-07, Vol.22 (4), p.1440-1444
Hauptverfasser: Bede, Salwan Yousif Hanna, Ahmed, Firas Taha
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container_title The Journal of craniofacial surgery
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creator Bede, Salwan Yousif Hanna
Ahmed, Firas Taha
description This study evaluates 22 patients with retained foreign bodies in the maxillofacial region that were all caused by penetrating missile injuries. Surgical intervention for the retrieval of the foreign bodies was carried out in 20 patients through the existing wounds and through separate incisions; all patients were followed up for a minimum of 2 months during which all the complications were registered and managed. Preoperative imaging is a prerequisite for the accurate localization of the foreign body and the subsequent successful removal of it. All patients developed complications that were categorized in this study into those that result from the injury itself and those that occur because of the retrieval procedure, the latter category being mostly easily managed. In general, all foreign bodies in the maxillofacial region should be removed; the surgeon involved should weigh the benefits and the perils of the removal, and the patient should be well informed about the possibility of the failure of removal of the foreign body.
doi_str_mv 10.1097/SCS.0b013e31821d17ee
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subjects Adolescent
Adult
Bone Plates
Child
Cicatrix - etiology
Dentistry
Female
Follow-Up Studies
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Fractures, Comminuted - surgery
Humans
Jaw Fixation Techniques
Jaw Fractures - surgery
Male
Maxillofacial Injuries - diagnostic imaging
Maxillofacial Injuries - surgery
Middle Aged
Mouth Mucosa - surgery
Patient Care Planning
Postoperative Complications
Radiography, Panoramic
Reconstructive Surgical Procedures - methods
Surgical Flaps
Tomography, X-Ray Computed
Weapons
Wounds, Penetrating - diagnostic imaging
Wounds, Penetrating - surgery
Young Adult
Zygomatic Fractures - surgery
title Management of retained foreign bodies in missile injuries of the maxillofacial region
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