Huamani PJ, Cordero PG

Language: Spanish
References: 11
Page: 178-181
PDF size: 252.73 Kb.

ABSTRACT

Access to the pterygomaxillary fossa (PF) for the removal of foreign bodies (FB) is not a common procedure for the oral and maxillofacial surgeon, in addition to the anatomical complexity that the PF represents, it can make surgical access more difficult. We present the clinical case of a 25-year-old patient, who attended the Oral and Maxillofacial Surgery Service in the Hospital Nacional Cayetano Heredia in Peru, with a history of having been surgically treated for a fracture of the right mandibular angle in another institution, presenting a limitation to the mouth opening as the main symptomatology. Within the findings in the multislice spiral tomography (MST) the inclusion of an FB of metallic density in the PF was evidenced, which was removed in the operating room through an intraoral approach through the use of fluoroscopy. After the removal of the FB, the patient re-established her mouth opening and correct bone repair of the mandibular fracture. The case is presented due to the difficulty of surgical access that it represents, in addition to the scarce literature that currently has similar cases.

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