Alagarsamy Ragavi, Kain Rakesh, Lal Babu, Bhardwaj Gopal Krishna M
Department of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung hospital, New Delhi, India.
Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4855-4857. doi: 10.1007/s12070-024-04904-4. Epub 2024 Jul 22.
Chronic osteomyelitis resulting from foreign body entrapment in the pediatric mandible presents unique challenges in diagnosis and management. Habitual insertion of objects into the oral cavity by children can lead to serious complications such as discharging sinuses and osteomyelitis. We present a case of a 12-year-old boy with extra-oral pus discharge originating from the mandible, ultimately traced to an embedded iron nail adjacent to a carious first molar. Radiographic imaging played a crucial role in diagnosis, revealing the foreign object and. Long-term follow-up showed successful healing with prompt treatment. Prevention through parent education, meticulous examination, and interdisciplinary collaboration are emphasized to avoid such complications.
小儿下颌骨异物嵌顿所致慢性骨髓炎在诊断和治疗上面临独特挑战。儿童习惯性将物体放入口腔可导致严重并发症,如窦道流脓和骨髓炎。我们报告一例12岁男孩,下颌骨出现口外脓性分泌物,最终追溯到一颗龋坏的第一磨牙旁嵌入的铁钉。影像学检查在诊断中起关键作用,显示出异物。长期随访表明及时治疗可成功治愈。强调通过家长教育、细致检查和多学科协作进行预防,以避免此类并发症。