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影像学在口腔内异物检测中的重要性。

The Importance of Imaging in the Detection of Intraoral Foreign Body.

作者信息

Partheeban Sidesh, Chan Adrian, Diljohn Jason, Cassim Nicolette, Rampersad Fidel S

机构信息

Department of Radiology, San Fernando Teaching Hospital, San Fernando, TTO.

Department of Radiology, The University of the West Indies, St. Augustine, TTO.

出版信息

Cureus. 2023 May 25;15(5):e39500. doi: 10.7759/cureus.39500. eCollection 2023 May.

DOI:10.7759/cureus.39500
PMID:37378183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10291933/
Abstract

Intraoral foreign bodies (IOFBs) can be seen incidentally on computed tomography (CT) imaging and may mimic pathology. It is therefore important to identify the imaging features of a comestible intraoral foreign body and differentiate them from true pathology to avoid unwarranted patient distress and further imaging or procedures that are unnecessary and costly. This case describes a 31-year-old male who presented to the emergency room following a fall from an eight-foot height, with loss of consciousness for five minutes and right periorbital edema. Subsequent CT imaging of the facial bones revealed multiple facial and orbital fractures as well as a circumscribed, ovoid, hyperdensity with internal air pockets within the inferior left buccal space, which was diagnosed as an intraoral foreign body. Here, we aim to highlight the imaging features of this particular case of comestible intraoral foreign body.

摘要

口腔内异物(IOFBs)可在计算机断层扫描(CT)成像中偶然发现,且可能类似病变。因此,识别可食用口腔内异物的影像特征并将其与真正的病变区分开来非常重要,以避免患者无端的痛苦以及不必要且昂贵的进一步影像学检查或操作。本病例描述了一名31岁男性,他从八英尺高处坠落后来到急诊室,昏迷了五分钟,右眼周水肿。随后对面部骨骼进行的CT成像显示多处面部和眼眶骨折,以及左下颊间隙内一个边界清晰的椭圆形高密度影,内部有气腔,被诊断为口腔内异物。在此,我们旨在强调这一特殊可食用口腔内异物病例的影像特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/9e519abdaa16/cureus-0015-00000039500-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/76c2dec5a995/cureus-0015-00000039500-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/5f46d24615fc/cureus-0015-00000039500-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/c6c21a98daf0/cureus-0015-00000039500-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/3d4d79044570/cureus-0015-00000039500-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/9e519abdaa16/cureus-0015-00000039500-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/76c2dec5a995/cureus-0015-00000039500-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/5f46d24615fc/cureus-0015-00000039500-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/c6c21a98daf0/cureus-0015-00000039500-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/3d4d79044570/cureus-0015-00000039500-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8495/10291933/9e519abdaa16/cureus-0015-00000039500-i05.jpg

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本文引用的文献

1
Multimodality Imaging of Foreign Bodies: New Insights into Old Challenges.异物的多模态成像:旧挑战的新见解。
Radiographics. 2020 Nov-Dec;40(7):1965-1986. doi: 10.1148/rg.2020200061.
2
A curious case of a comestible cough candy.一例食用止咳糖的奇闻。
Radiol Case Rep. 2020 Jul 9;15(9):1566-1569. doi: 10.1016/j.radcr.2020.06.036. eCollection 2020 Sep.
3
What's in your mouth? The CT appearance of comestible intraoral foreign bodies.你嘴里有什么?可食用口腔内异物的CT表现。
AJNR Am J Neuroradiol. 2008 Sep;29(8):1552-5. doi: 10.3174/ajnr.A1127. Epub 2008 May 22.