Sathish R, Suhas S, Gayathri G, Ravikumar G, Chandrashekar L, Omprakash T L
Oral and Maxillofacial Surgery, Sri Siddhartha Dental College, India.
Eur Arch Paediatr Dent. 2011 Oct;12(5):272-4. doi: 10.1007/BF03262821.
Toothbrush injuries are common in children, and those of impalement and embedded injuries are the more serious.
A five-year-old girl presented with a complaint of a swelling affecting the left side of her face and with difficulty in opening her mouth for the previous 15 days. She gave a history of a fall while brushing her teeth. A foreign body (head of a toothbrush) located adjacent to the mandibular ramus was identified with the help of a CT scan.
The foreign body was located by surgical exploration and retrieved. An extra-oral sinus that was present was excised and the resulting defect was reconstructed using a Limberg flap.
FOLLOW-UP: Healing was uneventful during the follow-up period. After 18 months the child's mouth had completely healed although some extra-oral scarring was present.
When dealing with children reporting for evaluation following trauma while tooth brushing, a thorough evaluation is essential for embedded foreign bodies.
牙刷损伤在儿童中很常见，其中刺入伤和嵌入伤更为严重。
一名五岁女孩主诉左侧面部肿胀，且在过去15天里张口困难。她有刷牙时摔倒的病史。借助CT扫描，在下颌支附近发现了一个异物（牙刷头部）。
通过手术探查定位并取出异物。切除存在的口腔外窦道，并用Limberg皮瓣修复由此产生的缺损。
随访期间愈合顺利。18个月后，孩子的口腔已完全愈合，尽管仍有一些口腔外瘢痕。
在处理因刷牙外伤前来评估的儿童时，对于嵌入的异物进行全面评估至关重要。
