Olusanya A A, Aladelusi T O, Olanloye O M
Department of Oral & Maxillofacial Surgery, University College Hospital,Ibadan,Nigeria.
J West Afr Coll Surg. 2015 Jul-Sep;5(3):1-15.
The maxillofacial region has a complex anatomy and is replete with orifices and tissue dead spaces which could harbor foreign bodies. It is important to identify a foreign body impaction when it occurs, as it can be a source of persistent pain, infection and suppuration, it could also further migrate to adjacent regions of the body The aim of this study is to report the clinical presentation, the prevalence, diagnosis, management and outcome of maxillofacial foreign body impaction in Ibadan, Nigeria.
This is a prospective clinic based epidemiological study carried out at the Department of Oral and Maxillofacial surgery, University College hospital, Ibadan, Nigeria. Data of all the patients presenting with foreign body impaction department from January 2008 to July 2013 were recorded into a proforma. The data which included demographics, type of foreign body impaction, predisposing factors, clinical presentation, diagnosis, treatment provided and outcome were analyzed using IBM SPSS version 19.
A total of 5571 patients presented in the clinic during the study period with 16 of the patients presenting with foreign body impaction in the maxillofacial region prevalence rate of 0.29% There were 8 (50%) males and 8 (50%) females with male/female ratio of 1:1.The age ranged from .. to .. with a mean age of 21.89+/-17.047years. Iatrogenically displaced tooth 4 (25%) was the commonest foreign body impacted in the maxillofacial region while the submandibular region 3 (18.8%) was the commonest site. Majority 6 (40%) of the patients had retrieval of the foreign body under local anaesthesia.
Foreign body impactions in the maxillofacial region are not common and are varied in nature. Their management is straightforward when they are impacted in an accessible and superficial site otherwise their diagnosis could be difficult and their management more challenging.
颌面区域解剖结构复杂，有许多孔窍和组织死腔，可能藏有异物。异物嵌塞发生时，识别它很重要，因为它可能是持续疼痛、感染和化脓的来源，还可能进一步迁移至身体邻近区域。本研究的目的是报告尼日利亚伊巴丹颌面异物嵌塞的临床表现、患病率、诊断、处理及结果。
这是一项在尼日利亚伊巴丹大学学院医院口腔颌面外科进行的基于临床的前瞻性流行病学研究。将2008年1月至2013年7月在该科室就诊的所有异物嵌塞患者的数据记录在一份表格中。使用IBM SPSS 19版对包括人口统计学、异物嵌塞类型、诱发因素、临床表现、诊断、所提供的治疗及结果等数据进行分析。
在研究期间，共有5571名患者到该科室就诊，其中16名患者存在颌面区域异物嵌塞，患病率为0.29%。男性8名（50%），女性8名（50%），男女比例为1:1。年龄范围为……至……，平均年龄为21.89±17.047岁。医源性移位牙4例（25%）是颌面区域最常见的异物嵌塞类型，而下颌下区域3例（18.8%）是最常见的部位。大多数患者6例（40%）在局部麻醉下取出了异物。
颌面区域异物嵌塞并不常见，且性质各异。当异物嵌塞在易于触及的浅表部位时，处理较为简单，否则其诊断可能困难，处理也更具挑战性。
