婴儿硬腭异物:罕见病例报告和文献综述

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-05-02 DOI:10.1016/j.ajoms.2024.04.015
Shohei Takaoka , Kenji Yamagata , Satoshi Fukuzawa , Fumihiko Uchida , Naomi Ishibashi-Kanno , Hiroki Bukawa
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引用次数: 0

摘要

婴儿倾向于将任何东西放入口中,但在临床实践中,嵌入婴儿硬腭的异物极为罕见。婴儿通常很难进行检查,硬腭异物有时会被误诊为肿瘤或炎症病变。我们介绍了一例罕见病例,该病例是在全身麻醉下从婴儿硬腭取出异物后才确诊的。一名 12 个月大的健康女孩因硬腭上有异物突出而被转诊接受仔细检查。在腭部发现了一个约 10 毫米的白黄色突出异物。计算机断层扫描显示边界处有一个不透射线的异物。医生决定进行检查,并在全身麻醉的情况下进行了活组织检查,轻松取出的异物是一个明显的塑料制品,呈半圆形,周围有帽檐。对异物下的异常牙龈进行组织病理学检查后发现有炎症性肉芽组织。该报告强调了诊断婴儿硬腭异物的难度以及在全身麻醉下取出异物的安全性。临床医生必须考虑到异物导致婴儿硬腭病变的可能性。因此,必须仔细检查并安全取出异物,以防发生严重的吸入并发症。
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Foreign body in infant hard palate: A report of a rare case and literature review
Infants tend to place anything in their mouths; however, foreign bodies embedded in the hard palate of infants are extremely rare in clinical practice. Infants are often difficult to examine, and foreign bodies in the hard palate are misdiagnosed as neoplastic or inflammatory lesions in some cases. We present a rare case of a foreign body that was not diagnosed until its removal from the hard palate of an infant under general anesthesia. A healthy 12-month-old girl with a protruding foreign body on the hard palate was referred for close investigation. A white-yellow protruding foreign body measuring approximately 10 mm was found on the palate. Computed tomography revealed a radiopaque foreign body at the border. It was decided to examine and performed biopsy under general anesthesia, and the foreign body removed easily was an obviously plastic object with a semicircular shape and a brim around it. The histopathological examination of the abnormal gingiva under the foreign body revealed inflammatory granulation tissue. This report highlights the difficulty in diagnosing an infant with a foreign body in the hard palate and the safety of its removal under general anesthesia. Clinicians must consider the possibility of foreign bodies causing lesions on an infant’s hard palate. Therefore, careful examination and safe removal are necessary to prevent serious aspiration complications.
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
129
审稿时长
83 days
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