Foreign Body in the Left Sub-Masseteric Region Masquerading as a Chronic Parotid Fistula: A Rare and Intriguing Case Report


Authors : Dr. Abdul Haseeb Quadri; Dr. Souvik Roy

Volume/Issue : Volume 10 - 2025, Issue 8 - August


Google Scholar : https://tinyurl.com/3tj365jm

Scribd : https://tinyurl.com/538vntjb

DOI : https://doi.org/10.38124/ijisrt/25aug931

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Abstract : Oral and maxillofacial surgeons often encounter foreign bodies. They may present a diagnostic challenge, due to many factors such as the size of the object, the difficult access, masked by structures and a close anatomical relationship of the foreign body to vital structures. We report a rare case of a chronic parotid fistula caused by an occult wooden foreign body, emphasizing the importance of thorough history and clinical examination in diagnosis.

Keywords : Foreign Body, Surgical Exploration, Superficial Parotidectomy.

References :

[1].    Krimmel M, Cornelius CP, Stojadinovic S, Hoffmann J, Reineri S (2001) Wooden foreign bodies in facial injury: a radiological pitfall. Int J Oral Maxillofac Surg 30:445–447
[2].    Dimitrakopoulous I, Lazaridis N, Karakasis D (1991) Unusual retained foreign body in the orbit. J Oral Maxillofac Surg 49:420–421
[3].    Quayle AA (1986) The significance of small wounds in the eyelids. Br J Oral Maxillofac Surg 24:17–21
[4].    McCaughey AD (1988) An unusual infraorbital foreign body. Br J Oral Maxillofac Surg 26:426
[5].    Anderson M, Newmeyer WL, Kilgore ES Jr (1982) Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg 144:63–65
[6].    Ruskin JD, Delmore MM, Feinberg SE (1992) Post traumatic facial swelling and draining sinus tract. J Oral Maxillofac Surg 50:1320–1323
[7].    Flom LL, Ellis GL. Radiologic evaluation of foreign bodies. Emergency medicine clinics of North America. 1992 Feb 1;10(1):163-77.
[8].    Jacobson JA, Powell A, Craig JG, Bouffard JA, Van Holsbeeck MT. Wooden foreign bodies in soft tissue: detection at US. Radiology. 1998 Jan;206(1):45-8.
[9].    Ginsburg MJ, Ellis GL, Flom LL. Detection of soft-tissue foreign bodies by plain radiography, xerography, computed tomography, and ultrasonography. Annals of emergency medicine. 1990 Jun 1;19(6):701-3.
[10].    Lammers RL. Soft tissue foreign bodies. Annals of emergency medicine. 1988 Dec 1;17(12):1336-47.

 

Oral and maxillofacial surgeons often encounter foreign bodies. They may present a diagnostic challenge, due to many factors such as the size of the object, the difficult access, masked by structures and a close anatomical relationship of the foreign body to vital structures. We report a rare case of a chronic parotid fistula caused by an occult wooden foreign body, emphasizing the importance of thorough history and clinical examination in diagnosis.

Keywords : Foreign Body, Surgical Exploration, Superficial Parotidectomy.

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Paper Submission Last Date
30 - November - 2025

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