极为罕见的第三磨牙移位至颞下窝并与纺织物肉芽肿相关的病例。
An extremely rare case of a displaced third molar into the infratemporal fossa associated with a textiloma.
机构信息
Department of Oral and Maxillofacial surgery, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex, France.
Department of Oral and Maxillofacial surgery, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex, France.
出版信息
J Stomatol Oral Maxillofac Surg. 2020 Dec;121(6):746-748. doi: 10.1016/j.jormas.2020.04.004. Epub 2020 Apr 14.
BACKGROUND
Third molar extraction is one of the most common procedures performed by oral surgeons, however with rare complications. The accidental displacement of a maxillary third molar into the infratemporal fossa (ITF) is a rare complication that can occur even with experienced surgeons.
CASE PRESENTATION
We describe the case of a 17-year-old patient whose right upper third molar was accidentally pushed to the ITF associated with a cellulitis and the late discovery of a textiloma (a surgical gauze).
CONCLUSIONS
Extraction of third molars is a safe surgical procedure when performed in appropriate conditions. The diagnosis of textiloma following a maxillo-facial surgery is extremely rare. It is important to take into account this possibility in order to avoid delaying treatment when it occurs.
背景
第三磨牙拔除是口腔外科医生最常进行的手术之一，但很少有并发症。上颌第三磨牙意外移位至颞下窝（ITF）是一种罕见的并发症，即使是经验丰富的外科医生也可能发生。
病例介绍
我们描述了一位 17 岁患者的病例，其右侧上颌第三磨牙意外被推至 ITF，伴有蜂窝织炎和后期发现纱线束（手术纱布）。
结论
在适当的条件下进行第三磨牙拔除是一种安全的手术。在颌面外科手术后诊断出纱线束极为罕见。重要的是要考虑到这种可能性，以避免发生时延迟治疗。
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