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Sigron GR, Locher MC. A gossypiboma (foreign body granuloma) mimicking a residual odontogenic cyst in the mandible: a case report. J Med Case Rep. 2011;5:211doi: 10.1186/1752-1947-5-211.
Sigron, G. R., & Locher, M. C. (2011). A gossypiboma (foreign body granuloma) mimicking a residual odontogenic cyst in the mandible: a case report. Journal of medical case reports, 5211. https://doi.org/10.1186/1752-1947-5-211
Sigron, Guido R, and Locher, Michael C. "A gossypiboma (foreign body granuloma) mimicking a residual odontogenic cyst in the mandible: a case report." Journal of medical case reports vol. 5 (2011): 211. doi: https://doi.org/10.1186/1752-1947-5-211
Sigron GR, Locher MC. A gossypiboma (foreign body granuloma) mimicking a residual odontogenic cyst in the mandible: a case report. J Med Case Rep. 2011 May 28;5:211. doi: 10.1186/1752-1947-5-211. PMID: 21619664; PMCID: PMC3127842.
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J Med Case Rep. 2011 May 28;5:211. doi: 10.1186/1752-1947-5-211.

A gossypiboma (foreign body granuloma) mimicking a residual odontogenic cyst in the mandible: a case report.

Journal of medical case reports

Guido R Sigron, Michael C Locher

Affiliations

  1. Department of Oral Surgery, Center for Dental and Oral Medicine and Cranio-Maxillofacial Surgery, University of Zurich, Plattenstrasse 15, 8032 Zurich, Switzerland. [email protected].

PMID: 21619664 PMCID: PMC3127842 DOI: 10.1186/1752-1947-5-211

Abstract

INTRODUCTION: Gossypiboma (foreign body granuloma) in the tooth socket as a complication of tooth removal is rare. Several cases of gossypiboma have been reported after orthopedic, abdominal, otorhinolaryngology, or plastic surgery, but there has been only one reported case after oral surgery.

CASE PRESENTATION: A 42-year-old Caucasian German-speaking Swiss woman applied to our clinic for removal of her right mandibular first molar. Her right mandibular third molar had been removed seven years ago. Post-operatively, she complained of pain and foreign body sensation for six months in the area of the removed tooth. A panoramic radiograph of our patient showed a defined and oval radiolucent area in the socket of the right mandibular third molar evoking a residual cyst. An operation was planned to remove the cyst-like lesion. During surgery, a foreign body composed of gauze was found in the right mandibular third molar region. The histological findings were compatible with a foreign body reaction around gauze.

CONCLUSION: Retained gauze must be considered if patients complain of pain and foreign body sensation after tooth removal. The use of gauze with radio-opaque markers and extensive irrigation of the socket with saline to remove gauze fragments can avoid this mishap.

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