Clinical study of the removal of infratemporal fossa and pterygopalatine fossa foreign bodies using a trans⁃oral approach
Objective To summarize the clinical experience of removing infratemporal fossa and pterygopalatine fossa foreign bodies via a trans⁃oral approach. Methods The clinical data of 9 patients with foreign bodies in the infra⁃ temporal fossa and pterygopalatine fossa hospitalized from March 2008 to June...
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| Format: | Article |
| Language: | zho |
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Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases
2018-04-01
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| Series: | 口腔疾病防治 |
| Subjects: | |
| Online Access: | http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2018.04.006 |
| _version_ | 1818036341184659456 |
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| author | LIU Junping YI Chen WANG Jianguang |
| author_facet | LIU Junping YI Chen WANG Jianguang |
| author_sort | LIU Junping |
| collection | DOAJ |
| description | Objective To summarize the clinical experience of removing infratemporal fossa and pterygopalatine
fossa foreign bodies via a trans⁃oral approach. Methods The clinical data of 9 patients with foreign bodies in the infra⁃
temporal fossa and pterygopalatine fossa hospitalized from March 2008 to June 2017 were analyzed retrospectively.
Among these cases, 4 were flying injuries, 2 were falling injuries, 2 were traffic injuries and 1 was an iatrogenic syringe
injury. Foreign bodies were divided into the following categories: 3 cases of wood from branches, 3 cases of iron filings,
2 cases of broken glass, and one case of a broken syringe needle. Before surgery, all subjects underwent spiral CT three⁃
dimensional reconstruction and CT angiography examinations. After accurately determining the relationship between the
foreign body and the internal and external carotid arteries and their branches, patients underwent an operation under
general anesthesia to remove the foreign body via a trans⁃oral approach. In addition, patients participated in mouth open⁃
ing training for one week. Then, patients were followed for 1 to 6 months. Results Foreign bodies were removed com⁃
pletely in all 9 patients. Foreign bodies were independently located in the pterygopalatine fossa in 2 cases and in the in⁃fratemporal fossa in 3 cases. There were 4 cases of foreign bodies located in both the infratemporal fossa and the ptery⁃
gopalatine fossa. All 9 patients had the foreign bodies completely removed and were discharged one week after surgery.
They were followed for 1 to 6 months. Their mouth opening and occlusion were normal, without any complications. Con⁃
clusion Spiral CT, 3D reconstruction and CT angiography examinations are necessary and important for accurate pre⁃
operation positioning. It is feasible to remove foreign bodies in the infratemporal fossa and pterygopalatine fossa via a
trans⁃oral approach. |
| first_indexed | 2024-12-10T07:09:24Z |
| format | Article |
| id | doaj.art-0e43c0eb9e6d4ad8b236b9e004545a1b |
| institution | Directory Open Access Journal |
| issn | 2096-1456 2096-1456 |
| language | zho |
| last_indexed | 2024-12-10T07:09:24Z |
| publishDate | 2018-04-01 |
| publisher | Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases |
| record_format | Article |
| series | 口腔疾病防治 |
| spelling | doaj.art-0e43c0eb9e6d4ad8b236b9e004545a1b2022-12-22T01:58:06ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562096-14562018-04-0126423123510.12016/j.issn.2096-1456.2018.04.006Clinical study of the removal of infratemporal fossa and pterygopalatine fossa foreign bodies using a trans⁃oral approachLIU Junping0YI Chen1WANG Jianguang2Department of Stomatology，Liao Bu Hospital of Guang⁃ dong Medical UniversityDepartment of Oral & Maxillofacial Surgery, Sun Yat⁃sen Memo⁃ rial Hospital of Sun Yat⁃sen UniversityDepartment of Oral & Maxillofacial Surgery, Sun Yat⁃sen Memo⁃ rial Hospital of Sun Yat⁃sen UniversityObjective To summarize the clinical experience of removing infratemporal fossa and pterygopalatine fossa foreign bodies via a trans⁃oral approach. Methods The clinical data of 9 patients with foreign bodies in the infra⁃ temporal fossa and pterygopalatine fossa hospitalized from March 2008 to June 2017 were analyzed retrospectively. Among these cases, 4 were flying injuries, 2 were falling injuries, 2 were traffic injuries and 1 was an iatrogenic syringe injury. Foreign bodies were divided into the following categories: 3 cases of wood from branches, 3 cases of iron filings, 2 cases of broken glass, and one case of a broken syringe needle. Before surgery, all subjects underwent spiral CT three⁃ dimensional reconstruction and CT angiography examinations. After accurately determining the relationship between the foreign body and the internal and external carotid arteries and their branches, patients underwent an operation under general anesthesia to remove the foreign body via a trans⁃oral approach. In addition, patients participated in mouth open⁃ ing training for one week. Then, patients were followed for 1 to 6 months. Results Foreign bodies were removed com⁃ pletely in all 9 patients. Foreign bodies were independently located in the pterygopalatine fossa in 2 cases and in the in⁃fratemporal fossa in 3 cases. There were 4 cases of foreign bodies located in both the infratemporal fossa and the ptery⁃ gopalatine fossa. All 9 patients had the foreign bodies completely removed and were discharged one week after surgery. They were followed for 1 to 6 months. Their mouth opening and occlusion were normal, without any complications. Con⁃ clusion Spiral CT, 3D reconstruction and CT angiography examinations are necessary and important for accurate pre⁃ operation positioning. It is feasible to remove foreign bodies in the infratemporal fossa and pterygopalatine fossa via a trans⁃oral approach.http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2018.04.006Coronoid processInfratemporal fossaPterygopalatine fossaForeign bodyInternal maxillary arteryTrauma |
| spellingShingle | LIU Junping YI Chen WANG Jianguang Clinical study of the removal of infratemporal fossa and pterygopalatine fossa foreign bodies using a trans⁃oral approach 口腔疾病防治 Coronoid process Infratemporal fossa Pterygopalatine fossa Foreign body Internal maxillary artery Trauma |
| title | Clinical study of the removal of infratemporal fossa and pterygopalatine fossa foreign bodies using a trans⁃oral approach |
| title_full | Clinical study of the removal of infratemporal fossa and pterygopalatine fossa foreign bodies using a trans⁃oral approach |
| title_fullStr | Clinical study of the removal of infratemporal fossa and pterygopalatine fossa foreign bodies using a trans⁃oral approach |
| title_full_unstemmed | Clinical study of the removal of infratemporal fossa and pterygopalatine fossa foreign bodies using a trans⁃oral approach |
| title_short | Clinical study of the removal of infratemporal fossa and pterygopalatine fossa foreign bodies using a trans⁃oral approach |
| title_sort | clinical study of the removal of infratemporal fossa and pterygopalatine fossa foreign bodies using a trans⁃oral approach |
| topic | Coronoid process Infratemporal fossa Pterygopalatine fossa Foreign body Internal maxillary artery Trauma |
| url | http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2018.04.006 |
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