Grammatopoulos E, Murtadha L, Nair P, Holmes S, Makdissi J
Oral and Maxillofacial Surgery, Barts and the London NHS Trust, Dental Institute, Royal London Hospital, London E1 1BB, UK.
Dentomaxillofac Radiol. 2008 Dec;37(8):473-6. doi: 10.1259/dmfr/55307373.
This case report describes the use of real-time intraoperative ultrasonography to guide the removal of an airgun pellet embedded in the right cheek of a 20-year-old man. This patient had previously undergone two unsuccessful surgical attempts to have this pellet removed via blind exploration. Through the use of ultrasonography, the pellet's positional relationship throughout the procedure was accurately defined with respect to important soft and hard anatomical structures, as well as to the surgical instruments used, enabling its very efficient removal. This technique is safe, easy, cost effective and accurate, and thus minimizes post-operative morbidity and the risk of surgical complications.
本病例报告描述了使用实时术中超声引导取出一名20岁男性右脸颊内嵌的气枪子弹。该患者此前曾进行过两次通过盲目探查取出子弹的手术尝试，但均未成功。通过使用超声，在整个手术过程中，子弹相对于重要的软硬解剖结构以及所使用的手术器械的位置关系得到了准确界定，从而能够非常有效地将其取出。该技术安全、简便、经济有效且准确，因此可将术后发病率和手术并发症风险降至最低。
