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Management of Retained Foreign Bodies in Missile Injuries of the Maxillofacial Region

Bede, Salwan Yousif Hanna BDS, FIBMS*†; Ahmed, Firas Taha BDS, FIBMS

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1440-1444
doi: 10.1097/SCS.0b013e31821d17ee
Technical Strategies

This study evaluates 22 patients with retained foreign bodies in the maxillofacial region that were all caused by penetrating missile injuries. Surgical intervention for the retrieval of the foreign bodies was carried out in 20 patients through the existing wounds and through separate incisions; all patients were followed up for a minimum of 2 months during which all the complications were registered and managed. Preoperative imaging is a prerequisite for the accurate localization of the foreign body and the subsequent successful removal of it. All patients developed complications that were categorized in this study into those that result from the injury itself and those that occur because of the retrieval procedure, the latter category being mostly easily managed. In general, all foreign bodies in the maxillofacial region should be removed; the surgeon involved should weigh the benefits and the perils of the removal, and the patient should be well informed about the possibility of the failure of removal of the foreign body.

From the *Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad; †Alyarmook Teaching Hospital; and ‡Specialized Surgeries Hospital, Medical City, Baghdad, Iraq.

Received September 9, 2010.

Accepted for publication September 30, 2010.

Address correspondence and reprint requests to Salwan Yousif Bede, BDS, FIBMS, Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Bab-Almoadham, PO Box 1417, Baghdad, Iraq; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD