Delayed or No Healing in Maxillo-facial Trauma Secondary to Foreign Body Invasion
The image exhibits unhealed tender wound with purulent discharge in left zygomatic and temporal region in 58 years old woman with history of fall. Antibiotics did not resolve the infection. Imaging of the wound was conducted; however, findings were insignificant. Exploration of the wound revealed few strands of hair present in the wound. Presence of foreign body usually goes unnoticed initially when patients’ present with history of trauma to ER. The main focus immediately shifts to airway and hemorrhage control. Even though debridement and cleaning of wound are done, small foreign bodies may be left behind. The foreign body such as hair, pebbles, glass, and thorns are loaded with infectious agents. No amount of antibiotics is usually effective unless the source of infection is identified and removed. Dense foreign bodies such as pebbles are usually identified using radiographic imaging. For radiolucent objects, computed tomography may be employed. Delayed healing or no healing of wounds with history of trauma warrant imaging in order to identify the location, size, and nature of foreign body. Removal of foreign body resolves the problem. Source: Foreign Bodies Invasion in Facial Traumas- A Case Series http://www.ijrrjournal.org/IJRR_Vol.7_Issue.3_March2020/IJRR0039.pdf Image via http://www.ijrrjournal.org/IJRR_Vol.7_Issue.3_March2020/IJRR0039.pdf
