Optimization of techniques for foreign body removal in the oral and maxillofacial region based on anatomical sites and analy-sis of clinical experience
10.13591/j.cnki.kqyx.2025.09.002
- VernacularTitle:基于解剖部位的口腔颌面部异物取出技术优化与临床经验分析
- Author:
Xiaoru HOU
1
;
Xiaotao XING
1
;
Lifeng LI
1
;
Jiangtao CUI
1
;
Xiaoyi HU
1
Author Information
1. 西安交通大学口腔医院,陕西省颅颌面精准医学研究重点实验室,陕西 西安(710000);陕西省牙颌疾病临床研究中心,陕西 西安(710000);西安交通大学口腔医院创伤整形外科,陕西 西安(710000)
- Publication Type:Journal Article
- Keywords:
oral and maxillofacial region;
foreign body removal;
computer navigation technology;
endoscope
- From:
STOMATOLOGY
2025;45(9):649-654
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and summarize the locations,clinical manifestations,and treatment strategies of foreign bodies in the oral and maxillofacial region(FBOMR)among patients treated in our hospital,providing clinical insights and references for the pre-vention and management of FBOMR.Methods A retrospective analysis was conducted on the clinical data of 17 FBOMR patients hos-pitalized in our hospital from May 2022 to May 2024.The demographic information,etiology of injury,characteristics of foreign bodies,extraction methods,surgical duration,complications,and follow-up outcomes were analyzed.Differences in treatment strategies among patients with varying injury patterns were compared.Results The average age of the 17 FBOMR patients was(45.71±18.19)years old,with a male to female ratio of 1∶0.7.Etiological analysis revealed:iatrogenic causes(58.82%,10/17),occupational exposure(23.53%,4/17),and accidental injuries(17.65%,3/17).Secondary infections occurred in 64.71%(11/17)of cases during foreign body retention.All cases underwent successful surgical removal,with the following approaches:conventional surgery(64.71%,11/17),computer navigation-assisted surgery(29.41%,5/17),and endoscope-assisted surgery(5.88%,1/17).Compared to the conventional group,computer navigation-assisted surgery significantly reduced intraoperative trauma(P＜0.05).Conclusion Retained FBOMR poses serious risks to patients'physical and mental health.Surgical intervention remains the gold standard for clinical manage-ment.Precise three-dimensional localization and minimally invasive techniques,such as computer-assisted navigation and endoscopy,are recommended to minimize tissue damage and improve outcomes.
