基于解剖部位的口腔颌面部异物取出技术优化与临床经验分析

doi:10.13591/j.cnki.kqyx.2025.09.002

Abstract

Abstract:

Objective To explore and summarize the locations, clinical manifestations, and treatment strategies of foreign bodies in the oral and maxillofacial region(FBOMR)among patients treated in our hospital, providing clinical insights and references for the prevention and management of FBOMR. Methods A retrospective analysis was conducted on the clinical data of 17 FBOMR patients hospitalized in our hospital from May 2022 to May 2024. The demographic information, etiology of injury, characteristics of foreign bodies, extraction methods, surgical duration, complications, and follow-up outcomes were analyzed. Differences in treatment strategies among patients with varying injury patterns were compared. Results The average age of the 17 FBOMR patients was (45.71±18.19) years old, with a male to female ratio of 1∶0.7. Etiological analysis revealed: iatrogenic causes(58.82%, 10/17), occupational exposure(23.53%, 4/17), and accidental injuries(17.65%, 3/17). Secondary infections occurred in 64.71%(11/17)of cases during foreign body retention. All cases underwent successful surgical removal, with the following approaches: conventional surgery(64.71%, 11/17), computer navigation-assisted surgery(29.41%, 5/17), and endoscope-assisted surgery(5.88%, 1/17). Compared to the conventional group, computer navigation-assisted surgery significantly reduced intraoperative trauma(P<0.05). Conclusion Retained FBOMR poses serious risks to patients’physical and mental health. Surgical intervention remains the gold standard for clinical management. Precise three-dimensional localization and minimally invasive techniques, such as computer-assisted navigation and endoscopy, are recommended to minimize tissue damage and improve outcomes.

Key words: oral and maxillofacial region, foreign body removal, computer navigation technology, endoscope

CLC Number:

R782.4

HOU Xiaoru, XING Xiaotao, LI Lifeng, CUI Jiangtao, HU Xiaoyi. Optimization of techniques for foreign body removal in the oral and maxillofacial region based on anatomical sites and analysis of clinical experience[J]. Stomatology, 2025, 45(9): 649-654.

Figures/Tables 5

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References 26

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序号	辅助手段	性别	年龄/岁	异物原因	异物性质	滞留部位	临床症状	是否感染	滞留时间
1	计算机导航	男	37	医源性	车针	翼颌间隙	无	否	1 d
2	常规手术	男	73	生活意外	鱼刺	舌	疼痛	是	8 d
3	计算机导航	男	27	医源性	牙根	翼颌间隙	疼痛、张口困难	是	10 h
4	常规手术	女	61	医源性	玻尿酸	颏部	流脓	是	23年
5	计算机导航	男	51	工作意外	铆钉	面颊部	肿胀	是	40 d
6	常规手术	男	52	医源性	牙根	翼颌间隙	无	是	5个月
7	计算机导航	男	32	医源性	牙挺	翼颌间隙	舌麻木	是	10 d
8	内镜辅助	男	68	医源性	牙根	上颌窦	无	否	5 d
9	常规手术	女	66	医源性	车针	舌	流脓	是	10 d
10	常规手术	女	31	生活意外	不明	面颊部	肿胀	否	2个月
11	常规手术	男	36	生活意外	玻璃	颌下	疼痛	是	6个月
12	计算机导航	女	27	医源性	牙根	翼颌间隙	无	否	10 h
13	常规手术	女	35	医源性	玻尿酸	颏部	疼痛	是	8年
14	常规手术	女	16	生活意外	唇钉	唇	无	否	3 d
15	常规手术	女	64	医源性	玻尿酸	鼻	移位	是	10年
16	常规手术	男	32	工作意外	金属	上颌窦	无	否	1 d
17	常规手术	男	69	工作意外	桔梗	面颊部	流脓	是	2d

组别	n	异物取出率/%	设备连接时长/min	手术时长/min	切口长度/cm	出血量/mL
常规组	11	100	0	56.18±30.57	3.12±0.46	22.73±3.44
导航组	5	100	8.75±2.50	38.60±10.95	1.60±0.42	9.00±4.18
t				1.231	7.22	6.942
P				>0.05	<0.000 1	<0.000 1

组别	n	肿胀程度	肿胀时间/d	疼痛程度	感染率	住院天数/d
常规组	11	2.39±0.54	4.45±0.52	3.36±0.50	0	4.09±0.53
导航组	5	1.00±0.00	2.25±0.96	2.50±0.58	0	2.80±0.84
t		4.262	6.973	4.643	0	3.748
P		<0.001	<0.001	<0.001	1	<0.005

Optimization of techniques for foreign body removal in the oral and maxillofacial region based on anatomical sites and analysis of clinical experience

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