Arch Craniofac Surg.  2018 Mar;19(1):60-63. 10.7181/acfs.2018.19.1.60.

Retained large glass fragments for over 40 years in the maxillofacial region

• Na WG
• Lim H
• Koh SH
• Jung SW

• KMID: 2411042
• DOI: http://doi.org/10.7181/acfs.2018.19.1.60

Abstract

Foreign body (FB) impaction in the maxillofacial area could be caused by knives, glass fragments, and vegetative materials. We present the rare case of a 62-year-old man with a large glass FB in the left cheek retained for over 40 years. He had traffic accident over 40 years ago and glass fragments impacted on his left cheek. Glass fragments were retained around the zygomatic arch with dimpled scar and unclear serous discharge, but other facial motor or sensory dysfunction was not observed. We confirmed three glass fragments with radiologic examination including plain radiograph and computed tomographic image. Under general anesthesia, impacted glass fragments were removed through the direct incision on the dimpled scar and the additional incision on the left lateral canthal area. Remnant FBs were not seen on an intraoperative C-arm radiograph. After 2 days of irrigation for inflammation control, the dimpled wound was sutured. The wound was healed without major complication and the original dimpled scar was much improved.

Keyword

Foreign bodies; Wounds and injuries; Inflammation

MeSH Terms

Accidents, Traffic
Anesthesia, General
Cheek
Cicatrix
Foreign Bodies
Glass*
Humans
Inflammation
Middle Aged
Wounds and Injuries
Zygoma