Lehmann Ashton E, Scangas George A, Jafari Aria, Metson Ralph
Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.
Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
OTO Open. 2020 Jul 31;4(3):2473974X20947026. doi: 10.1177/2473974X20947026. eCollection 2020 Jul-Sep.
Removal of foreign bodies from the infratemporal fossa is surgically challenging and fraught with risks. This report describes our experience with a minimally invasive transoral technique, utilizing endoscopic and image guidance technology, for retrieval of infratemporal fossa foreign bodies in 6 patients. The technique was successfully applied in all cases with identification and retrieval of the foreign bodies, which included 4 hypodermic needles broken off during dental injections, a cottonoid surgical sponge lost during a facial fracture repair, and a maxillary molar displaced during attempted extraction. Complications were limited to transient postoperative lingual and inferior alveolar nerve sensory deficits in 1 patient.
从颞下窝取出异物具有手术挑战性且充满风险。本报告描述了我们使用内窥镜和图像引导技术的微创经口技术，为6例患者取出颞下窝异物的经验。该技术在所有病例中均成功应用，识别并取出了异物，其中包括4根在牙科注射时折断的皮下注射针、1块在面部骨折修复过程中丢失的手术棉片以及1颗在拔牙尝试过程中移位的上颌磨牙。并发症仅限于1例患者术后出现短暂的舌和下牙槽神经感觉障碍。
