Maxillary sinus textiloma: a case report

Paranasal gossypiboma mimicking an aggressive tumor: a case report

Even if gossypibomas are extremely rare in the Oro‐Maxillofacial region, they should be evoked in bizarre tumors when repeated histology tests are not contributive, especially in patients with a history of dento‐sinusal surgery. As it is recommended in general surgery, gauzes should be carefully counted when used in dentistry.

Changes in computed tomography findings according to the chronicity of maxillary sinus gossypiboma

The present report describes a case of gossypiboma in the maxillary sinus after treatment for the fracture of the orbital floor with review of the literatures on this interesting disease entity. The suspicion of gossypiboma should be raised when a patient with a history of previous sinonasal surgery, especially Caldwell-Luc approach, presents with chronic recurrent or refractory sinusitis. Because of the rarity of reported cases, typical computed tomography findings of gossypiboma in the sinonasal area have not been established. In the present case, because the gauze was retained for 25 years in the maxillary sinus, computed tomography findings revealed nonspecific findings. Because a foreign body left behind after operation may lead to a serious medicolegal issue, it is worth reemphasizing that the best general approach to retained surgical foreign body is to prevent its occurrence.

Gossypiboma in the oral region: Case report and literature review

Gossypiboma is an inflammatory reaction to a foreign body, specifically composed of a cotton matrix left behind after surgery. The present study aims to present a case report of gossypiboma 23 years after a dental surgery and to make a literature review of the English language cases published on the issue. A 42-year-old woman was attended to evaluate complaints of pain on the right side of the maxilla. The patient reported that dental extractions in this region had been performed over a period of nearly 23 years. The panoramic radiograph demonstrated an opacity in the right maxillary sinus, which presented a spongiform aspect, irregularly shaped radiopaque image, as well as a rupture of the maxillary sinus's lower cortical layer. A surgical excision was performed, and the histopathological diagnosis was of gossypiboma. Six similar cases have also reported of gossypiboma in the oral region; however, calcification was only identified in the present case report. The patient is currently undergoing follow-up and has presented no complaints of pain or recurrence. Key words:Gossypiboma, textiloma, muslinoma, gauzoma, oral region.

A gossypiboma (foreign body granuloma) mimicking a residual odontogenic cyst in the mandible: a case report

Introduction

Gossypiboma (foreign body granuloma) in the tooth socket as a complication of tooth removal is rare. Several cases of gossypiboma have been reported after orthopedic, abdominal, otorhinolaryngology, or plastic surgery, but there has been only one reported case after oral surgery.

Case presentation

A 42-year-old Caucasian German-speaking Swiss woman applied to our clinic for removal of her right mandibular first molar. Her right mandibular third molar had been removed seven years ago. Post-operatively, she complained of pain and foreign body sensation for six months in the area of the removed tooth. A panoramic radiograph of our patient showed a defined and oval radiolucent area in the socket of the right mandibular third molar evoking a residual cyst. An operation was planned to remove the cyst-like lesion. During surgery, a foreign body composed of gauze was found in the right mandibular third molar region. The histological findings were compatible with a foreign body reaction around gauze.

Conclusion

Retained gauze must be considered if patients complain of pain and foreign body sensation after tooth removal. The use of gauze with radio-opaque markers and extensive irrigation of the socket with saline to remove gauze fragments can avoid this mishap.