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.
J Stomatol Oral Maxillofac Surg. 2020 Dec;121(6):746-748. doi: 10.1016/j.jormas.2020.04.004. Epub 2020 Apr 14.
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.
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).
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.
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。
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）。
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。
