Kim Woo Ju, Kim Woo Seob, Kim Han Koo, Bae Tae Hui
Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Arch Craniofac Surg. 2018 Jun;19(2):139-142. doi: 10.7181/acfs.2018.00017. Epub 2018 Jun 7.
Foreign bodies impacted in the maxillofacial region are often a diagnostic challenge. They can be a source of chronic inflammatory reactions and infections leading to the formation of an orocutaneous fistula. Such orocutaneous fistulas cause significant morbidity in most patients, eventually requiring surgery. Recently, we encountered a very rare case of an orocutaneous fistula caused by multiple foreign bodies in the cheek. Precise removal of the foreign bodies was required, and a double-sided anterolateral thigh free flap was used to reconstruct the defect. Surgeons should be aware of the complications of multiple foreign bodies and should be able to diagnose these on careful clinical examination.
异物嵌顿于颌面区域通常是一个诊断难题。它们可能是慢性炎症反应和感染的源头，进而导致口皮瘘的形成。此类口皮瘘在大多数患者中会引发严重的发病情况，最终需要进行手术。最近，我们遇到了一例极为罕见的因面颊部多个异物导致的口皮瘘病例。需要精确取出异物，并采用双侧股前外侧游离皮瓣修复缺损。外科医生应意识到多个异物的并发症，并能够通过仔细的临床检查对其进行诊断。
