Surgical Removal of Neglected Soft Tissue Foreign Bodies by Needle-Guided Technique

Introduction: The phenomenon of neglected foreign bodies is a significant cause of morbidity in soft tissue injuries and may present to dermatologists as delayed wound healing, localized cellulitis and inflammation, abscess formation, or foreign body sensation. Localization and removal of neglected...

Full description

Bibliographic Details
Main Authors: Ali Ebrahimi, Mohammad Radmanesh, Sohrab Rabiei, Hossein kavoussi
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2012-12-01
Series:Iranian Journal of Otorhinolaryngology
Subjects:
Online Access:http://ijorl.mums.ac.ir/?_action=showPDF&article=64&_ob=e57f9059b30b179e61f0b3bfe32500ec&fileName=full_text.pdf
_version_ 1819015221462695936
author Ali Ebrahimi
Mohammad Radmanesh
Sohrab Rabiei
Hossein kavoussi
author_facet Ali Ebrahimi
Mohammad Radmanesh
Sohrab Rabiei
Hossein kavoussi
author_sort Ali Ebrahimi
collection DOAJ
description Introduction: The phenomenon of neglected foreign bodies is a significant cause of morbidity in soft tissue injuries and may present to dermatologists as delayed wound healing, localized cellulitis and inflammation, abscess formation, or foreign body sensation. Localization and removal of neglected soft tissue foreign bodies (STFBs) is complex due to possible inflammation, indurations, granulated tissue, and fibrotic scar. This paper describes a simple method for the quick localization and (surgical) removal of neglected STFBs using two 23-gauge needles without ultrasonographic or fluoroscopic guidance.  Materials and Methods: A technique based on the use of two 23-gauge needles was used in 41 neglected STFBs in order to achieve proper localization and fixation of foreign bodies during surgery.  Results:    Surgical removal was successful in 38 of 41 neglected STFBs (ranging from 2–13mm in diameter).  Conclusion: The cross-needle-guided technique is an office-based procedure that allows the successful surgical removal of STFBs using minimal soft tissue exploration and dissection via proper localization, fixation, and propulsion of the foreign body toward the surface of the skin.
first_indexed 2024-12-21T02:28:17Z
format Article
id doaj.art-f550a52ca49442848da227b98b9176ec
institution Directory Open Access Journal
issn 2251-7251
2251-726X
language English
last_indexed 2024-12-21T02:28:17Z
publishDate 2012-12-01
publisher Mashhad University of Medical Sciences
record_format Article
series Iranian Journal of Otorhinolaryngology
spelling doaj.art-f550a52ca49442848da227b98b9176ec2022-12-21T19:18:59ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2012-12-0125702935Surgical Removal of Neglected Soft Tissue Foreign Bodies by Needle-Guided TechniqueAli EbrahimiMohammad RadmaneshSohrab RabieiHossein kavoussiIntroduction: The phenomenon of neglected foreign bodies is a significant cause of morbidity in soft tissue injuries and may present to dermatologists as delayed wound healing, localized cellulitis and inflammation, abscess formation, or foreign body sensation. Localization and removal of neglected soft tissue foreign bodies (STFBs) is complex due to possible inflammation, indurations, granulated tissue, and fibrotic scar. This paper describes a simple method for the quick localization and (surgical) removal of neglected STFBs using two 23-gauge needles without ultrasonographic or fluoroscopic guidance.  Materials and Methods: A technique based on the use of two 23-gauge needles was used in 41 neglected STFBs in order to achieve proper localization and fixation of foreign bodies during surgery.  Results:    Surgical removal was successful in 38 of 41 neglected STFBs (ranging from 2–13mm in diameter).  Conclusion: The cross-needle-guided technique is an office-based procedure that allows the successful surgical removal of STFBs using minimal soft tissue exploration and dissection via proper localization, fixation, and propulsion of the foreign body toward the surface of the skin.http://ijorl.mums.ac.ir/?_action=showPDF&article=64&_ob=e57f9059b30b179e61f0b3bfe32500ec&fileName=full_text.pdfForeign bodySoft tissuesurgery
spellingShingle Ali Ebrahimi
Mohammad Radmanesh
Sohrab Rabiei
Hossein kavoussi
Surgical Removal of Neglected Soft Tissue Foreign Bodies by Needle-Guided Technique
Iranian Journal of Otorhinolaryngology
Foreign body
Soft tissue
surgery
title Surgical Removal of Neglected Soft Tissue Foreign Bodies by Needle-Guided Technique
title_full Surgical Removal of Neglected Soft Tissue Foreign Bodies by Needle-Guided Technique
title_fullStr Surgical Removal of Neglected Soft Tissue Foreign Bodies by Needle-Guided Technique
title_full_unstemmed Surgical Removal of Neglected Soft Tissue Foreign Bodies by Needle-Guided Technique
title_short Surgical Removal of Neglected Soft Tissue Foreign Bodies by Needle-Guided Technique
title_sort surgical removal of neglected soft tissue foreign bodies by needle guided technique
topic Foreign body
Soft tissue
surgery
url http://ijorl.mums.ac.ir/?_action=showPDF&article=64&_ob=e57f9059b30b179e61f0b3bfe32500ec&fileName=full_text.pdf
work_keys_str_mv AT aliebrahimi surgicalremovalofneglectedsofttissueforeignbodiesbyneedleguidedtechnique
AT mohammadradmanesh surgicalremovalofneglectedsofttissueforeignbodiesbyneedleguidedtechnique
AT sohrabrabiei surgicalremovalofneglectedsofttissueforeignbodiesbyneedleguidedtechnique
AT hosseinkavoussi surgicalremovalofneglectedsofttissueforeignbodiesbyneedleguidedtechnique