Abstract
This paper aimed to present a clinical case presenting an unusual periapical radiolucent lesion, its approach and treatment, and as an element of differential diagnosis in periapical pathology. Foreign body granuloma (FBG) is a tissue reaction that is triggered by the deposit of a foreign material affecting the skin and internal organs that the immune system tries to delimit and, if possible, eliminate. FBG may constitute a complication of a surgical procedure or a new pathology for the patient, which precedes an iatrogenic event causing diagnostic difficulties. This study presented an unusual periapical radiolucent lesion in a male patient with a periapical radiolucent area found in panoramic radiography; the lesion was enucleated, histopathologically confirming an FBG, which was the result of a biomaterial used in surgery for nasal polyps and deviated septum performed years before. This case shows us a very unusual presentation of an FBG within the maxillary bone after surgery for nasal polyps and deviated septum. The appropriate use of the available imaging tools and histopathological study and interpretation is emphasized, to be able to carry out a successful long-term treatment with the lowest chances of recurrence. In addition, an interdisciplinary approach is very important, which leads us to the comprehensive treatment of the patient. The proper use of diagnostic and imaging methods that we currently have, as well as knowledge of differential diagnoses, is essential to successfully diagnose and treat injuries in the maxillofacial area.
References
Cardona H.M.Á., Enríquez M.J., Ramos G.A., et al. Fístula cutánea y granuloma a cuerpo extraño por material de sutura. Presentación de un caso. Rev Cent Dermatol Pascua. 2016; 25 (2): 53-57.
Alfonso O., Alfonso B., Orozco M., Matzalik G. Cuerpos extraños en abdomen: presentación de casos y revisión bibliográfica. Rev. Colomb. Cir. 2009 [Internet]. [acceso 29/01/2021]; 24 (2): 114-122. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011-75822009000200007&lng=en.
Moreno A., Marcoval J. Granulomas a cuerpo extraño. Dermatología: Correlación clínico-patológica. Menarini 62 (2000): 255-258.
Tsukamoto M., Hirokawa J., Yokoyama T. Retained Foreign Body in the Nasal Cavity After Oral Maxillofacial Surgery. Anesth Prog. 2018; 65 (2): 111-112.
López C., Manchola J., Medina S., Moreno S. Reaccción Granulomatosa De Tipo Cuerpo Extraño Secundaria a Biomateriales Y Su Respuesta Inmunológica: Revisión Sistemática De La Literatura. Salutem Scientia Spiritus. 2016 [Internet] [acceso 29 enero 2021]; 2 (1): 21-28. Disponible en: https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1385.
Pereira R.M., Afonso Pereira P.C. de O., Rodrigues V., Braga de Andrade L.F., Morais de Carvalho E., Marangon Júnior H., Foreign Body Granuloma in the Tongue by a Pequi Spine. Case Reports in Dentistry, vol. 2020, Article ID 8838250, 5 pages, 2020. https://doi.org/10.1155/2020/8838250
Fuentes R., Álvarez G., Arias A., Borie-Echevarría E., Dias F. Periodontitis Apical: Caracterización Histológica y Morfométrica de Quistes Radiculares y Granulomas Periapicales. Int. J. Morphol. 2018 [Internet]. [acceso 30/01/ 2021]; 36 (4): 1268-1274. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-95022018000401268&lng=es. http://dx.doi.org/10.4067/S0717-95022018000401268.
Lubinus FG, Rey CA, López LA, Villarreal ED, Vera SN. Cuerpos extraños de presentación atípica: Presentación de casos. Rev. Colomb. Radiol. 2019 [Internet]. [acceso 29/01/2021]; (30(3): 5199-5202. Disponible en: https://www.webcir.org/revistavirtual/articulos/2020/5_mayo/col/2_esp_cuerpos_extranos.pdf
Yamamoto K., Nakayama Y., Matsusue Y., Kurihara M., Yagyuu T., Kirita T., "A Foreign Body Granuloma of the Buccal Mucosa Induced by Honeybee Sting", Case Reports in Dentistry, vol. 2017, Article ID 7902978, 4 pages, 2017. https://doi.org/10.1155/2017/7902978
Abdinian M., Aminian M., Seyyedkhamesi S. Comparison of accuracy between panoramic radiography, cone-beam computed tomography, and ultrasonography in detection of foreign bodies in the maxillofacial region: an in vitro study. J Korean Assoc Oral Maxillofac Surg. 2018; 44 (1): 18-24. doi: 10.5125/jkaoms.2018.44.1.18.
Avril L., Lombardi T., Ailianou A., Burkhardt K., Varoquaux A., Scolozzi P., Becker M. Radiolucent lesions of the mandible: a pattern-based approach to diagnosis. Insights Imaging. 2014; 5 (1): 85-101. doi: 10.1007/s13244-013-0298-9.