Retained Metallic Foreign body- A Diagnostic and Surgical Challenge

Abstract

The most common causes of foreign body in orofacial region is either trauma or iatrogenic. These cases show the significance of proper case history and radiographic examination for correct diagnosis. Their identification and removal from the tissue is often necessary and challenging. The treatment sequence consisted of the foreign body approach and removal, the wound exploration, irrigation and suture. The entire foreign body was successfully removed in both cases. Since the aetiology of both differ, the treatment also differs, in accidental foreign body impaction treatment is only confined to symptomatic treatment but in the self-injurious behaviour, a psychological counselling of patient is required to prevent repetition of the habit. Two cases of unusual foreign body in orofacial region are reported with their diagnostic and surgical challenge.