A case of nasal septal gossypiboma removal and mucosal defect reconstruction
The term "gossypiboma" refers to a mass of the cotton matrix that is left in the body following an operation. It can remain silent postoperatively and appear several years later with a variety of symptoms or non-specific radiological findings. In addition, gossypiboma that persists in the...
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| Format: | Article |
| Language: | English |
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Korean Society of Korean Cosmetic Surgery and medicine
2022-12-01
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| Series: | Journal of Cosmetic Medicine |
| Subjects: | |
| Online Access: | http://journaleditor.inforang.com/journal/view.html?doi=10.25056/JCM.2022.6.2.95 |
| _version_ | 1797963633963040768 |
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| author | Seok Hyun Kim Hyo Beom Jang Da Hee Park Sue Jean Mun |
| author_facet | Seok Hyun Kim Hyo Beom Jang Da Hee Park Sue Jean Mun |
| author_sort | Seok Hyun Kim |
| collection | DOAJ |
| description | The term "gossypiboma" refers to a mass of the cotton matrix that is left in the body following an operation. It can remain silent postoperatively and appear several years later with a variety of symptoms or non-specific radiological findings. In addition, gossypiboma that persists in the human body for a long time can cause many complications when surgically removed. We report the case of a 33-year-old man who underwent rhinoseptoplasty and presented with nasal obstruction by a foreign body sensation. On endoscopic examination, protruding fabric material and granulation tissue were detected in the medial portion of the left nasal septum. Severe adhesion between the gossypiboma and septal mucosa resulted in a significant defect in the septal mucosa after endoscopic removal. The septum was approximated and reconstructed using a posterior-based inferior turbinate flap. The nasal obstruction completely resolved after surgery, and the septum healed at the six-month follow-up. This case emphasizes the possibility of gossypiboma when missing gauze remains in the patient after rhinoseptoplasty and a large septal perforation occurs as a consequence of gossypiboma removal. Rhinoplasty surgeons should be cautious to prevent materials being left inside the patient and efficiently follow-up on patients with nonspecific postoperative complaints. |
| first_indexed | 2024-04-11T01:31:18Z |
| format | Article |
| id | doaj.art-444e0fb3e3804a0c897b41524d5435c4 |
| institution | Directory Open Access Journal |
| issn | 2508-8831 |
| language | English |
| last_indexed | 2024-04-11T01:31:18Z |
| publishDate | 2022-12-01 |
| publisher | Korean Society of Korean Cosmetic Surgery and medicine |
| record_format | Article |
| series | Journal of Cosmetic Medicine |
| spelling | doaj.art-444e0fb3e3804a0c897b41524d5435c42023-01-03T09:34:44ZengKorean Society of Korean Cosmetic Surgery and medicineJournal of Cosmetic Medicine2508-88312022-12-0162959810.25056/JCM.2022.6.2.95JCM.2022.6.2.95A case of nasal septal gossypiboma removal and mucosal defect reconstructionSeok Hyun Kim0Hyo Beom Jang1Da Hee Park2Sue Jean Mun3Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, Rep. of KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, Rep. of KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, Rep. of KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, Rep. of KoreaThe term "gossypiboma" refers to a mass of the cotton matrix that is left in the body following an operation. It can remain silent postoperatively and appear several years later with a variety of symptoms or non-specific radiological findings. In addition, gossypiboma that persists in the human body for a long time can cause many complications when surgically removed. We report the case of a 33-year-old man who underwent rhinoseptoplasty and presented with nasal obstruction by a foreign body sensation. On endoscopic examination, protruding fabric material and granulation tissue were detected in the medial portion of the left nasal septum. Severe adhesion between the gossypiboma and septal mucosa resulted in a significant defect in the septal mucosa after endoscopic removal. The septum was approximated and reconstructed using a posterior-based inferior turbinate flap. The nasal obstruction completely resolved after surgery, and the septum healed at the six-month follow-up. This case emphasizes the possibility of gossypiboma when missing gauze remains in the patient after rhinoseptoplasty and a large septal perforation occurs as a consequence of gossypiboma removal. Rhinoplasty surgeons should be cautious to prevent materials being left inside the patient and efficiently follow-up on patients with nonspecific postoperative complaints.http://journaleditor.inforang.com/journal/view.html?doi=10.25056/JCM.2022.6.2.95foreign bodies; gossypiboma; nasal septal perforation; nasal septum; reconstruction; rhinoplasty |
| spellingShingle | Seok Hyun Kim Hyo Beom Jang Da Hee Park Sue Jean Mun A case of nasal septal gossypiboma removal and mucosal defect reconstruction Journal of Cosmetic Medicine foreign bodies; gossypiboma; nasal septal perforation; nasal septum; reconstruction; rhinoplasty |
| title | A case of nasal septal gossypiboma removal and mucosal defect reconstruction |
| title_full | A case of nasal septal gossypiboma removal and mucosal defect reconstruction |
| title_fullStr | A case of nasal septal gossypiboma removal and mucosal defect reconstruction |
| title_full_unstemmed | A case of nasal septal gossypiboma removal and mucosal defect reconstruction |
| title_short | A case of nasal septal gossypiboma removal and mucosal defect reconstruction |
| title_sort | case of nasal septal gossypiboma removal and mucosal defect reconstruction |
| topic | foreign bodies; gossypiboma; nasal septal perforation; nasal septum; reconstruction; rhinoplasty |
| url | http://journaleditor.inforang.com/journal/view.html?doi=10.25056/JCM.2022.6.2.95 |
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