Paranasal gossypiboma mimicking an aggressive tumor: a case report

Guerrouani, Alae; Kairouani, Mouna

doi:10.1002/ccr3.1273

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…The histological analysis of the foreign body in our patient revealed foreign fibres suggestive of retained surgical gauze, as well as floridly inflamed granulation tissue suggestive of a long‐standing inflammatory process (Fig. 2c), consistent with the microscopic findings in other reported cases of gossypibomas 7…”

Section: Figuresupporting

confidence: 89%

“…2c), consistent with the microscopic findings in other reported cases of gossypibomas. 7 The management of gossypiboma involves surgical removal of the offending material and may further necessitate reconstruction around the site of occurrence. 7,8 In our patient, as the retained surgical material did not damage the surrounding structures, surgical reconstruction was not necessary and thus not performed.…”

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confidence: 99%

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Delayed presentation of a semicentennial gossypiboma in the soft palate and posterior nasopharyngeal wall

Lee

Ooi

Jervis-Bardy

et al. 2020

ANZ Journal of Surgery

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Common nasopharyngeal and upper gastrointestinal foreign bodies include fish bones, chicken bones, food bolus, coin and dental prosthesis. 1,2 An uncommon cause of foreign body is gossypiboma. Gossypiboma is defined as retained foreign object of textile material, including surgical gauze, following a surgical operation. 3 A 76-year-old man presented to our hospital with breathing difficulty, halitosis and bloody purulent post-nasal secretions in the context of multiple cleft palate operations and a pharyngoplasty with his last operation performed 52 years ago. Upon physical examination, his palate appeared scarred and distorted. There were pinhole apertures in the velopharynx on either side of the dense adhesions,

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Section: Figuresupporting

confidence: 89%

mentioning

confidence: 99%

Delayed presentation of a semicentennial gossypiboma in the soft palate and posterior nasopharyngeal wall

Lee

Ooi

Jervis-Bardy

et al. 2020

ANZ Journal of Surgery

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show abstract

“…The acute reaction appears in the form of an abscess or granuloma, and the late reaction causes adhesions or encapsulation for several months to years, and various clinical symptoms associated with each reaction may occur [8]. Gossypiboma should be differentiated from an abscess at the surgical site, other benign tumors and malignant tumors, and for this, a detailed history taking, physical examination, and appropriate imaging and biopsy are required [9].…”

Section: Discussionmentioning

confidence: 99%

A Case of Nasal Septum Gossypiboma 14 Years After Septorhinoplasty

et al. 2022

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Gossypiboma, an infrequent surgical complication, describes a mass of cotton material inadvertently left in the body cavity after an operation. It is an extremely rare iatrogenic complication of nasal surgery, with only a few cases reported in literature to date. Here we present a case of gossypiboma in the nasal septum of a 35-year-old male patient who previously underwent septorhinoplasty fourteen years prior. He was treated by endoscopic endonasal surgery to remove the lesion. Pathologic findings showed a foreign body (gauze filament) with a giant cell reaction. This report will be helpful for treating patients with similar histories in the future.

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Comparison of Polyvinyl Alcohol Sponge and Gauze Packing for Nasal Fracture Treatment: An Efficacy and Safety Analysis

Nomura,

Muneuchi

2024

Journal of Craniofacial Surgery

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Nasal fractures are commonly treated using nasal packing as an internal splint after performing closed reduction. Although gauze and polyvinyl alcohol sponge (PVAS) are both commonly used for packing, few reports have compared their efficacy and safety in nasal fracture treatment. Therefore, in this study, the authors, aimed to retrospectively compare the efficacy and safety of gauze packing in 208 patients and PVAS packing in 225 patients who underwent closed reduction at our hospital. The proportions of patients requiring revision surgery did not differ significantly between the PVAS and gauze groups (P=0.627). However, in comparison to the gauze group, the PVAS group displayed significantly fewer instances of uncontrolled epistaxis following packing removal, as well as fewer occurrences of dropout and loss of packing (P=0.023, P=0.007, and P<0.001, respectively). The results of logistic regression analysis adjusted for confounding factors also showed that compared with the gauze group, the PVAS group was significantly less likely to experience packing dropout (odds ratio=0.13; 95% confidence interval, 0.06-0.29, P<0.001) for which younger and older age and allergic rhinitis were independent risk factors. In conclusion, both gauze and PVAS are effective packing materials as internal splints after closed reduction of nasal bone fractures. Specifically, PVAS utilization warrants consideration in pediatric and geriatric populations, individuals with allergic rhinitis, and those at elevated risk of bleeding.

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Paranasal gossypiboma mimicking an aggressive tumor: a case report

Cited by 3 publications

References 7 publications

Delayed presentation of a semicentennial gossypiboma in the soft palate and posterior nasopharyngeal wall

Delayed presentation of a semicentennial gossypiboma in the soft palate and posterior nasopharyngeal wall

A Case of Nasal Septum Gossypiboma 14 Years After Septorhinoplasty

Comparison of Polyvinyl Alcohol Sponge and Gauze Packing for Nasal Fracture Treatment: An Efficacy and Safety Analysis

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