Na Woong Gyu, Lim Hyoseob, Koh Sung Hoon, Jung Sung Won
Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University, Anyang, Korea.
Arch Craniofac Surg. 2018 Mar;19(1):60-63. doi: 10.7181/acfs.2018.19.1.60. Epub 2018 Mar 20.
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.
异物（FB）嵌顿于颌面区域可由刀、玻璃碎片和植物性物质引起。我们报告一例罕见病例，一名62岁男性，左侧脸颊有一个大的玻璃异物，已留存40多年。40多年前他发生了交通事故，玻璃碎片嵌顿在他的左侧脸颊。玻璃碎片留存于颧弓周围，有酒窝状瘢痕且有不明浆液性分泌物，但未观察到其他面部运动或感觉功能障碍。我们通过包括X线平片和计算机断层扫描图像在内的放射学检查确认了三块玻璃碎片。在全身麻醉下，通过酒窝状瘢痕处的直接切口和左侧内眦区域的附加切口取出嵌顿的玻璃碎片。术中C形臂X线片未见残留异物。在进行2天的冲洗以控制炎症后，缝合酒窝状伤口。伤口愈合良好，无重大并发症，原来的酒窝状瘢痕明显改善。
