Image intensifier as an auxiliary tool in the retrieval of an orthodontic band in the coronoid process: a case report

Abstract

Displacement of orthodontic appliances to the fascial spaces and segments of the airways during orthognathic surgery is rare; however, it may cause potential complications to the patients. Additionally, the removal of foreign bodies in the maxillofacial region can be a great challenge. Herein, we describe a case of a 43-year-old female patient with an orthodontic band displaced to the coronoid process during orthognathic surgery. In addition, the indications, treatments and outcomes of the image intensifier used in maxillofacial surgery were discussed. The object was successfully removed using an image intensifier, which allowed real-time visualization of the displaced appliance while using a haemostat to remove it through a conservative surgical wound. This article reports on a viable and safe method of a navigation system for the removal of foreign bodies in the region of the coronoid process. Maxillofacial surgeons should introduce this technique in selected cases in order to ensure safe and minimally invasive surgery.