MyMedR

Fulltext Granuloma formation and loss of tooth vitality following the use of bone wax in third molar surgery: rep ort of a case

Raman, Rajeswary, Yap, Hsiao Fern

Archives of Orofacial Sciences, 2014;9(1):1-3.

MyJurnal

In the present case, granuloma formation and loss of tooth vitality following the use of bone wax in third molar surgery in a 16 - year- old male patient were reported. Endodontic and surgical treatments were carried out on the patient. As foreign body granulomatous reaction to bone wax is not uncommon in the literature review, alternative haemostatic agents should be taken into consideration to avoid any potential complications and untoward effects of using bone wax for haemorrhage control in surgical procedures.

Matched MeSH terms: Foreign-Body Reaction

Iatrogenic displacement of high-speed bur during third molar removal

Rajaran JR, Nazimi AJ, Rajandram RK

BMJ Case Rep, 2017 Sep 27;2017.

PMID: 28954756 DOI: 10.1136/bcr-2017-221892

Surgical removal of impacted mandibular third molar is a routine procedure in oral surgery. Various iatrogenic complications related to the procedure has been discussed well in the literatures before. Some of these complications are related to the wrong usage of instruments and techniques. Here we discuss a rare complication on a 42-year-old male, related to the use of high-speed handpiece drill in mandibular third molar removal in a general dental office setting. He was referred when a high speed tungsten carbide bur was accidentally broken and displaced into the mandibular bone during surgical procedure. It is not common to use a high-speed handpiece in impacted third molar removal. This iatrogenic complication could have been totally avoided with the use of proper equipment and technique; therefore raising awareness regarding wrong usage of instrument is vital to avoid similar incidents in the future.

Matched MeSH terms: Foreign-Body Reaction/diagnosis*; Foreign-Body Reaction/surgery

Fulltext Suture Granuloma 14 Years Following Partial Thyroidectomy Masquerading as Tuberculosis af The Sinus Tract

Abdul Hamid MF, Yu-Lin AB, Maharani Hassan T

Eurasian J Med, 2018 Jun;50(2):122-124.

PMID: 30002580 DOI: 10.5152/eurasianjmed.2018.0006

Suture granuloma rarely occurs after thyroid surgery using non-absorbable sutures. We report the case of a 63-year-old female with a chronic discharging sinus in the anterior neck region. She had a history of subtotal thyroidectomy at the age of 45. The sinus had been excised and was reported as granulomatous lesions suggestive of tuberculosis. She was treated with anti-tuberculous medications, but unfortunately, she developed side effects. Histopathological slides were re-evaluated, which showed evidence of foreign material under polarized light; hence, the diagnosis was revised to suture granuloma. In conclusion, although sinus tract discharges are commonly attributed to tuberculosis, physicians should consider suture granuloma if they encounter a patient who has undergone a surgical procedure in the past.

Matched MeSH terms: Foreign-Body Reaction

Hepatosplenic lesions induced by experimental Schistosoma malayensis in rabbits

Shekhar KC, Pathmanathan R

Southeast Asian J. Trop. Med. Public Health, 1993 Jun;24(2):333-9.

PMID: 8266238

Two groups of three rabbits each were infected with 250 cercariae of the Baling and Koyan strain of Schistosoma malayensis. Changes induced by both strains included periportal hepatocellular necrosis and fibrosis. Vascular changes such as portal phlebitis and thrombophlebitis and varying degrees of pericholangitis were also present. Amyloid deposition was noted. A comparative study of the changes induced in rabbits by S. malayensis, S. mekongi and S. japonicum showed that the hepatic lesions induced by the Baling strain of S. malayensis were similar to that induced by S. japonicum, and were more severe than that induced by S. mekongi or the Koyan strain.

Matched MeSH terms: Foreign-Body Reaction/pathology

Fulltext Changes following nipple areolar complex reconstruction and tattooing resembling a recurrent Paget's disease of the breast

Hanafiah M, Alhabshi SM, Mahin AH

BMJ Case Rep, 2013;2013.

PMID: 24165504 DOI: 10.1136/bcr-2013-201281

Matched MeSH terms: Foreign-Body Reaction/diagnosis; Foreign-Body Reaction/pathology*; Foreign-Body Reaction/therapy

Fulltext Titanium and titanium based alloys as metallic biomaterials in medical applications – spine implant case study

Nur Azida Che Lah, Muhamad Hellmy Hussin

Pertanika Journal of Science & Technology, 2019;27(1):459-472.

MyJurnal

Titanium (Ti) and Ti-based alloys presence the most widely applied as advanced biomaterials
in biomedical implant applications. Moreover, these alloys are known to be the most
valuable metallic materials including spinal cord surgical treatment. It becomes an interest
due to its advantages compared to others, including its bio compatibility and corrosion
resistant. However, an issue arises when it comes for permanent implant application as
the alloy has a possible toxic effect produced from chemical reaction between body fluid
environments with alloys chemical compositions. It also relies on the performance of
neighbouring bone tissue to integrate with the implant surface. Abnormalities usually
happen when surrounding tissue shows poor responses and rejection of implants that would
leads to body inflammation. These cause an increase in foreign body reaction leading to
severe body tissue response and thus, loosening of the implant. Corrosion effects and
biocompatibility behaviour of implantation usage also become one of the reasons of
implant damage. Here, this paper reviews the importance of using Ti and Ti-based alloys
in biomedical implantation, especially in orthopaedic spinal cord injury. It also reviews the
basic aspects of corrosion effects that lead to implant mechanical damage, poor response
of body rejection and biocompatibility behaviour of implantation usage.

Matched MeSH terms: Foreign-Body Reaction

Subcutaneous reactions and degradation characteristics of collagenous and noncollagenous membranes in a macaque model

Siar CH, Toh CG, Romanos G, Ng KH

Clin Oral Implants Res, 2011 Jan;22(1):113-20.

PMID: 20678135 DOI: 10.1111/j.1600-0501.2010.01970.x

collagenous and noncollagenous membranes have been investigated in many animal systems but their effects in the macaque model are unknown.

Matched MeSH terms: Foreign-Body Reaction

The tampered implant. Intra-medullary nailing of the femur for fracture of the shaft-unusual difficulty in extraction: case report

Subramanian N

Med J Malaysia, 1973 Dec;28(2):123-4.

PMID: 4276229

Matched MeSH terms: Foreign-Body Reaction

Fulltext Can bone wax cause cholesterol granuloma in the petrous apex? A case report

Wong EHC, Lim CC, Ong CA, Narayanan P

Int J Surg Case Rep, 2020;72:587-589.

PMID: 32698294 DOI: 10.1016/j.ijscr.2020.06.086

BACKGROUND: Cholesterol granuloma (CG) is a rare entity but is the commonest lesion in the petrous apex. They are associated with chronic ear disease and previous temporal bone surgery. While bone wax has been known to cause foreign body reaction due to its non-resorbable property in the mastoid, it has not been documented to cause CG formation.

CASE PRESENTATION: We described a 43 years old male who presented with a right mastoid swelling, nine years after a right retro-sigmoid craniotomy and excision for a cerebellopontine angle meningioma. He also had multiple cranial neuropathies involving trigeminal, facial and vestibulocochlear nerves. Temporal bone CT and MRI showed features suggestive of cholesterol granuloma with extensive bony erosions. He was treated with surgical excision and drainage where bone wax residues were found intraoperatively. Histopathological analysis of the lesion confirmed the diagnosis of cholesterol granuloma. Post-operatively, the mastoid swelling resolved and his recovery was uneventful.

CONCLUSION: Our case showed that CG could manifest as a complication of bone wax usage in a neurosurgical procedure. Even though further study is needed to draw a definitive conclusion on this theory, we believe this paper will contribute to the current literature as it is the only reported case of cholesterol granuloma with bone wax as the possible causative agent. This is important so that surgeons are aware of this potential complication and use this haemostatic agent more judiciously.

Matched MeSH terms: Foreign-Body Reaction

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