舌体部から迷入したピアシング用インサート・ニードルによる舌口底膿瘍の1例

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  • A case of abscess of the tongue and oral floor due to accidental aberration by a needle piercing the tongue
  • ゼツタイブ カラ メイニュウシタ ピアシングヨウ インサート ・ ニードル ニ ヨル ゼッコウテイ ノウヨウ ノ 1レイ

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We report describe our experience with the case of a deep aberration caused by a needle piercing the dorsal region of the tongue, followed by the development of an abscess in the tongue and mouth floor. The patient was 36-year-old man who visited our department for swelling of the tongue as a chief complaint. On clinical examination, the tongue and mouth floor were prominently swollen, with respiratory discomfort. On computed tomography, we recognized a needle-shaped radiopacity, which appeared to be a piercing insert needle extending from the deep region of the tongue median toward the sublingual region. There was also stenosis of the upper respiratory tract. The patient was given a diagnosis of an abscess of the tongue and oral floor due to accidental insertion of a piercing needle in the tongue. After securing the airway by executing a tracheostomy, we removed the foreign objects, incised the abscess, and administered antimicrobial therapy. These treatments were so effective that the inflammation subsided day by day, and the patient was discharged from the hospital 14 days after admission. As of 1 year 6 months postoperatively, the inflammation has not recurred.

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