口腔内異物刺創に対する各種画像診断の有用性の検討

  • 扇内 洋介
    Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine
  • 山崎 卓
    Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine
  • 岡本 俊宏
    Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine
  • 西原 昇
    Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine
  • 山村 崇之
    Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine
  • 桑澤 隆補
    Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine
  • 扇内 秀樹
    Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine

書誌事項

タイトル別名
  • The usefulness of imaging procedures in the diagnosis of foreign bodies punctured wound in the mouth

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抄録

In the practice of oral surgery, treatment of oral injury by foreign bodies is comparatively common. Damage to the pharynx or the cranium should be born in mind, depending on the type of the foreign body and the site of injury.<BR>A three-year-old boy was playing with bamboo sticks when he fell down and a stick of bamboo struck him in the soft palate. Bleeding from the oral cavity occurred and the boy was brought to our outpatient emergency unit. At the time of examination, however, bleeding from the site of injury had already stopped. Plain X-ray, computed tomography (CT) and magnetic resonance imaging (MRI) of the cranium showed no oral abnormalities, we diagnosed that a piece of bamboo was not still embedded in the soft palate. The boy had no subsequent problems and has been well until the time of writing this report. In relevance to this case, we experimentally inserted a disposable wooden chopstick and a plastic chopstick into the oral cavity or the cranium of a human skull model and performed plain X-ray, CT and MRI to assess the usefulness of these imaging procedures in the diagnosis of foreign bodies in the mouth. Plain X-ray did not reveal the wooden chopstick. CT showed an obscure image of the embedded wooden chopstick. Only MRI disclosed the wooden chopstick clearly. The plastic chopstick was visible on plain X-ray, CT and MRI, but it was most clearly visualized on MRI.

収録刊行物

  • 小児口腔外科

    小児口腔外科 10 (2), 82-87, 2000

    日本小児口腔外科学会

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参考文献 (19)*注記

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