TWO CASES OF WOODEN FOREIGN BODY IN THE MASSETER MUSCLE

DOI Web Site 2 Citations
  • OTSUKA Yasushi
    Yokohama Rosai Hospital Department of Plastic and Reconstructive Surgery

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Other Title
  • 木片による咬筋内異物の2症例
  • 症例報告 木片による咬筋内異物の2症例
  • ショウレイ ホウコク モクヘン ニ ヨル コウキン ナイ イブツ ノ 2 ショウレイ

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Description

Two cases with persistent inflammatory symptoms involving the cheek were treated. Signs included trismus and refractory fistula due to a chip of wood as a traumatic foreign body in the masseter muscle. Case 1 could be diagnosed by CT, while case 2 could be diagnosed by both CT and ultrasonography. Following removal of the foreign body, symptoms improved in both cases. X-rays were unable to detect the wooden foreign body. The early stage of diagnosis is important to prevent persistent inflammation as a result of an inaccurate initial diagnosis. Ultrasonography, CT and MRI are useful for diagnosing a wooden foreign body. A traumatic foreign body in the masseter muscle is rare but can be encountered in clinical practice. Therefore, it is necessary to consider a foreign body when a patient shows signs of persistent inflammation of a cheek such as lockjaw, refractory fistula, and abscess.

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