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Diagnostic Dilemma in Foreign Body Impaction in Maxillofacial Surgey��? A Case Report and a Brief Literature Review

Mandeep Sharma

This atypical case report describes the accidental lodgment of wooden piece (3.5 cm long) in the left infra-orbital region during trauma 2 years back. Primary wound care was provided and laceration was sutured at a primary health care centre but, the wooden piece present there was missed both in clinical as well as radiographic examination. Chronic pain and a draining sinus associated with an unaesthetic keloid like scar was present in that region afterwards. Patient consulted many centres and was not benefitted from any sort of therapy he underwent. After two years patient reported to our centre and this wooden piece was safely removed by direct surgical exploration of the site. This incident emphasizes the need for prompt diagnosis and proper vigilance during examination of the patient and also guides the clinician to have proper debridement of wound before suturing as no such foreign body is left there. This case report also guides clinician in the steps that must be followed if such accidents happen.