Air gun pellet remaining in the maxillary sinus for 50 years: a relevant risk factor for the patient?

作者: T.V. Kühnel , C. Tudor , F.W. Neukam , E. Nkenke , P. Stockmann

DOI: 10.1016/J.IJOM.2009.10.021

关键词: MedicineSurgeryMetallic foreign bodyOral and maxillofacial surgeryMaxillary sinusContext (language use)Oral Cavity CarcinomaForeign bodyCarcinomaRisk factor

摘要: The authors report the case of a 62-year-old man referred to department oral and maxillofacial surgery because clinical suspicion palate carcinoma. Incidentally, diagnostic radiology showed metallic foreign body in left maxillary sinus. Anamnestic data revealed that shot from an air gun accidentally hit patient's cheek 1957. lead-containing pellet was removed by endoscopic antrostomy diagnosis squamous cell carcinoma confirmed histopathological examination. 50 years after pellet's impact, toxicological blood analysis no increased lead level. It remains unclear whether has potential effect or is related development In this context article reviews literature discusses necessity removing metal-containing bodies, role chronic toxicity its possible carcinogenic humans.

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