Migration of a foreign object to the parapharyngeal space: an unusual factitious disorder

Çomoğlu, Şenol; Enver, Necati; Şen, Cömert; Aydemir, Levent

doi:10.1016/j.bjorl.2016.05.004

Cited by 3 publications

(2 citation statements)

References 9 publications

(11 reference statements)

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“…Timely removal of the fragment is essential to prevent migration into adjacent spaces; for instance, a fragment fractured on the lingual side of the mandible can migrate to the submandibular or parapharyngeal space. This may potentially cause catastrophic complications, such as laceration of the maxillary artery or jugular vein [ 22 , 23 ]. Delayed removal increases the risk of infection and tissue destruction due to inflammation, thrombosis, erosion into the carotid artery or its branches, and nerve interference [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Instrument fracture in periodontal therapy: ethical disclosure and clinical management - a case report

Yaqoob,

Sadiq,

Karim

et al. 2024

BMC Oral Health

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Periodontal instrument fractures are rare events in dentistry, with limited literature available on their occurrence and management. This case report highlights an incident involving the fracture of a periodontal sickle scaler blade during manual instrumentation for the removal of calculus. The fracture occurred during instrumentation on the mesial surface of the maxillary right second molar, and the separated blade was subsequently pushed into the sulcus. A radiographic assessment was performed to verify the precise location of the fractured segment. Following confirmation, the broken blade was subsequently retrieved using curved artery forceps. The case report highlights factors contributing to instrument fractures, emphasizing the importance of instrument maintenance, sterilization cycles, and operator technique. Ethical considerations regarding patient disclosure, informed consent, and instrument retrieval methods are well discussed. This case underscores the importance of truthful communication, the proper use of instruments, equipment maintenance in dentistry, and the significance of ongoing professional development to enhance treatment safety, proficiency, and ethical standards in dental care.

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Section: Discussionmentioning

confidence: 99%

Instrument fracture in periodontal therapy: ethical disclosure and clinical management - a case report

Yaqoob,

Sadiq,

Karim

et al. 2024

BMC Oral Health

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“…An open neck exploration and foreign body removal is the recommended treatment for migratory foreign bodies in the neck to prevent life-threatening complications [ 6 ]. There are no certain criteria for the timing of surgery but the general consensus is to perform the surgery as soon as possible after the symptoms have started [ 11 ]. Open exploration of the neck to remove the foreign body has been described to be like fishing a needle in the ocean.…”

Section: Discussionmentioning

confidence: 99%

Migratory Fish Bone in the Hyoglossus: Catch Me if You Can

Musa,

Hamid,

Gendeh

2024

Cureus

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Foreign body ingestion is one of the most frequently encountered cases in otorhinolaryngology and most of the cases can be managed non-operatively. If left untreated, migration of foreign bodies can occur and presents a significant challenge in patient management. We hereby describe the case of an elderly gentleman who had a preceding history of fish bone ingestion and complained of dysphagia for two days. Clinical examination revealed swelling of the right vallecula with minimal pus discharge. Computed tomography (CT) of the neck confirmed the diagnosis of a migratory foreign body in the neck. He underwent open neck exploration and foreign body removal under intraoperative fluoroscopy guidance. A high index of suspicion of a migratory foreign body is warranted in cases of persistent, unresolved symptoms with the failure of endoscopic evaluation to detect the foreign body. Migratory foreign body of the neck may cause life-threatening complications and requires early surgical intervention.

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