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{"references": ["1. Yamamoto K, Nakayama Y, Yamamoto I, Matsusue Y, Shimotsuji H and Kirita T. A Ferromagnetic Foreign Body at the Lateral Aspect of the Mandibular Ramus in a Medically Compromised Patient. Open Denti J., 2016, 10, 390-394. 2. Uppal S.K, Shah S, Mittal R.K, Garg R, Singh N, Choudhary J. An unusual presentation of a missed oral foreign body: A case report. Sch J Med Case Rep. 2016; 4(8):572-575. 3. Aregbesola SB, Ugboko VI. Unusual foreign bodies in the orofacial soft tissue spaces: A report of three cases. Nigerian J Clini Pract. 2013;16(3):381-385. 4. Ghom A, Gupta M, Khatri P, Khandewal A, Debta FM. Foreign Bodies in the Oral and Maxillofacial Region: Report Of Two Cases. J Indi Acade Oral Medi Radio. 2011;23(4):630-632. 5. Gupta S, Nayar R, Rani R, Sastry UR, Kartha A. Impacted Toothbrush in the Oropharynx: An Anesthetic Challenge. Karn Anaesth J. 2015;1(3):134- 136. 6. Saricicek V, Sahin L, Mizrak A, Sen E. Endotracheal intubation of a paediatric patient with an umbrella wire embedded in the palate to the posterior wall of the nasopharynx using a GlideScope video laryngoscope. BMJ Case Rep. 2014;1-3. 7. Mallik KC, Guru RK. Unusual foreign body [tooth brush] in the masseter muscle a rare case report. J Evolu Medi Dent Sci. 2013;2(20):3610-3615."]}
In this case report we are presenting an unusual case of foreign body embedment in the oro-facial soft tissue. Our patient is a male adult and presented with history of restricted mouth opening, fever and painful facial swelling in the cheek. Plain radiographs of the maxillo-facial region was not diagnostic hence an ultrasonography was performed and a wooden foreign body which resembled a broken needle was noticed. Ultrasound guided surgical exploration was performed for the retrieval of the foreign body. Prompt diagnosis and early surgical exploration under USG guidance to retrieve such foreign bodies will greatly minimise the morbidity associated with it. This paper highlights the need for clinicians to elicit detailed history, however irrelevant, in arriving at a proper diagnosis, which in turn will influence the diagnosis and extend of surgical exploration.
foreign body, orafacial, trismus, ultrasonography
foreign body, orafacial, trismus, ultrasonography
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