Magnetic resonance imaging induced acute midfacial pain - incidental finding of a dislocated dental bur

被引:1
作者
Voss, Jan Oliver [1 ]
Raguse, Jan-Dirk [1 ]
Hoffmeister, Bodo [1 ]
Adolphs, Nicolai [1 ]
机构
[1] Campus Virchow Klinikum, Univ Hosp Charite, Dept Oral & Maxillofacial Surg & Clin Nav, D-13353 Berlin, Germany
关键词
dental bur; foreign body; maxillary sinus; MAXILLARY SINUS; FOREIGN-BODY; ASPERGILLOSIS; BODIES; COMPLICATION; ANTRUM;
D O I
暂无
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: To describe the management of a patient with an initially unnoticed dislocated dental bur in the maxillary sinus that became symptomatic during a magnetic resonance imaging (MRI) scan. Materials and methods: A MRI scan provoked strong midfacial pain in a 31-year-old male patient, who exhibited ambiguous neurologic impairment consistent with multiple sclerosis. Conventional radiography revealed an opaque foreign body in close proximity to the orbital floor that most likely caused the painful symptoms during the MRI. Results: After additional X-ray computed tomography (X-ray CT) scans were performed, a metal dental bur was removed by a combined transconjunctival and transnasal approach under perioperative antibiotic treatment. Conclusion: The disappearance of instruments during surgical procedures requires diligent investigation and immediate retrieval.
引用
收藏
页码:183 / 187
页数:5
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