Kim Kyung Soo
From the Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
J Craniofac Surg. 2014 Jul;25(4):e330-3. doi: 10.1097/SCS.0000000000000594.
The present report describes a case of gossypiboma in the maxillary sinus after treatment for the fracture of the orbital floor with review of the literatures on this interesting disease entity. The suspicion of gossypiboma should be raised when a patient with a history of previous sinonasal surgery, especially Caldwell-Luc approach, presents with chronic recurrent or refractory sinusitis. Because of the rarity of reported cases, typical computed tomography findings of gossypiboma in the sinonasal area have not been established. In the present case, because the gauze was retained for 25 years in the maxillary sinus, computed tomography findings revealed nonspecific findings. Because a foreign body left behind after operation may lead to a serious medicolegal issue, it is worth reemphasizing that the best general approach to retained surgical foreign body is to prevent its occurrence.
本报告描述了一例在上颌窦发生的棉籽瘤病例，该病例发生于眶底骨折治疗后，并且对关于这一有趣疾病实体的文献进行了回顾。当有鼻窦手术史，尤其是柯-陆氏手术史的患者出现慢性复发性或难治性鼻窦炎时，应怀疑棉籽瘤。由于报道的病例较少，鼻窦区域棉籽瘤典型的计算机断层扫描表现尚未确定。在本病例中，由于纱布在上颌窦内留存了25年，计算机断层扫描结果显示为非特异性表现。由于手术后遗留的异物可能会引发严重的医疗法律问题，值得再次强调的是，对于留存手术异物的最佳总体处理方法是预防其发生。
