| Peer-Reviewed

Removal of Foreign Body Aided with Various Navigation Modalities: A Case Report and Literature Review

Received: 17 February 2021    Accepted: 9 March 2021    Published: 13 April 2021
Views:       Downloads:
Abstract

Background: Computerized surgical navigation (CSN) has many potential applications in foreign body (FB) removal. Case report: While playing, a 14-year-old girl was accidentally shot in the facial area with a shotgun. Removal of the superficial shots and of the left eyeball was performed at a local hospital. She was transferred to the West China Hospital of Stomatology (Sichuan, China) on the third day after the accident due to difficulties in removing the remaining shots. Except for left eye vision loss, there was no abnormal physical or laboratory test. Spiral computed tomography (CT) scan of the head was performed and data were imported into the iplan software of the VectorVision2 navigation system. A dynamic reference frame was fixed to the skull and another to the forceps. Eight shots were successfully removed. One shot could not be removed because of significant shifting. At 1 month, the incisions were successfully healed and there were no symptoms or signs. Conclusion: The case presented here and the relevant literature about CSN indicates that CSN is a valuable modality for the removal of FBs, not only in the craniomaxillofacial area, but anywhere in the body.

Published in Journal of Surgery (Volume 9, Issue 2)
DOI 10.11648/j.js.20210902.19
Page(s) 86-92
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Computerized Surgical Navigation, Foreign Body, Computer-Aided Design, Maxillofacial Surgery

References
[1] DeLong MR, Gandolfi BM, Barr ML, Datta N, Willson TD, et al. Intraoperative Image-Guided Navigation in Craniofacial Surgery: Review and Grading of the Current Literature. J Craniofac Surg 2019; 30: 465-472.
[2] Shah I, Gadkaree SK, Tollefson TT, Shaye DA. Update on the management of craniomaxillofacial trauma in low-resource settings. Curr Opin Otolaryngol Head Neck Surg 2019; 27: 274-279.
[3] Haug RH, Morgan JP Etiology, Distribution, and Classification of Traumatic Craniomaxillofacial Deformities and Defects. In: Greenberg A, Schmelzeisen R, editors. Craniomaxillofacial Reconstructive and Corrective Bone Surgery. New York: Springer. 2019.
[4] Marcus JR, Erdmann D, Rodriguez ED (2012) Essentials of Craniomaxillofacial Trauma. St Louis: Quality Medical Publishing, Inc.
[5] Vaca E E, Bellamy J L, Sinno S, et al. Management of High-energy Avulsive Ballistic Facial Injury [J]. Plastic and Reconstructive Surgery - Global Open, 2018, 6 (3): e1693.
[6] Rhee PM, Moore EE, Joseph B, Tang A, Pandit V, et al. Gunshot wounds: A review of ballistics, bullets, weapons, and myths. J Trauma Acute Care Surg 2016; 80: 853-867.
[7] Schellenberg M, Inaba K, Heindel P, et al. The diagnostic dilemma of shotgun injuries [J]. European Journal of Trauma and Emergency Surgery, 2019 (6).
[8] Kaufman Y, Cole P, Hollier L Contemporary issues in facial gunshot wound management. J Craniofac Surg 2008; 19: 421-427.
[9] Kaufman Y, Cole P, Hollier LH, Jr. Facial gunshot wounds: trends in management. Craniomaxillofac Trauma Reconstr 2009; 2: 85-90.
[10] Voss JO, Thieme N, Doll C, Hartwig S, Adolphs N, et al. Penetrating Foreign Bodies in Head and Neck Trauma: A Surgical Challenge. Craniomaxillofac Trauma Reconstr 2018; 11: 172-182.
[11] Azarmehr I, Stokbro K, Bell RB, Thygesen T Surgical Navigation: A Systematic Review of Indications, Treatments, and Outcomes in Oral and Maxillofacial Surgery. J Oral Maxillofac Surg 2017; 75: 1987-2005.
[12] Dai J, Wu J, Wang X, Yang X, Wu Y, et al. An excellent navigation system and experience in craniomaxillofacial navigation surgery: a double-center study. Sci Rep 2016; 6: 28242.
[13] Sato H, Shiogama S, Narihira K Removal of small foreign bodies from the maxillary sinus using CT image-guided surgical navigation and rapid paired-point registration and calibration with reference markers on an occlusal splint. Oral Maxillofa Surg Cases 5. 2019.
[14] Sukegawa S, Kanno T, Shibata A, Matsumoto K, Sukegawa-Takahashi Y, et al. Use of an intraoperative navigation system for retrieving a broken dental instrument in the mandible: a case report. J Med Case Rep 2017 11: 14.
[15] Ali MJ, Naik MN, Kaliki S, Dave TV, Dendukuri G Interactive navigation-guided ophthalmic plastic surgery: the techniques and utility of 3-dimensional navigation. Can J Ophthalmol 2017; 52: 250-257.
[16] Yang CY, Yang RT, He SG, Li Z Removal of a large number of foreign bodies in the maxillofacial region with navigation system. Dent Traumatol 2017; 33: 230-234.
[17] Jain A, Gupta G, Grover M Removal of an Unusual Neglected Foreign Body in Infratemporal Region Using Navigation. J Craniofac Surg 2017; 28: e219-e221.
[18] Xing L, Duan Y, Zhu F, Shen M, Jia T, et al. Computed tomography navigation combined with endoscope guidance for the removal of projectiles in the maxillofacial area: a study of 24 patients. Int J Oral Maxillofac Surg 2015; 44: 322-328.
[19] Stein KM Use of Intraoperative Navigation for Minimally Invasive Retrieval of a Broken Dental Needle. J Oral Maxillofac Surg 2015; 73: 1911-1916.
[20] Li P, Li Z, Tian W, Tang W A strategy for removal of foreign body in mandible with navigation system. Int J Oral Maxillofac Surg 2015; 44: 885-888.
[21] Alzhrani GA, Alturki AY, Almusrea KN Removal of lumber spine foreign body using minimal access system with navigation. Asian J Neurosurg 2015; 10: 108-110.
[22] Gerbino G, Zavattero E, Berrone M, Berrone S Management of needle breakage using intraoperative navigation following inferior alveolar nerve block. J Oral Maxillofac Surg 2013; 71: 1819-1824.
[23] Gui H, Yang H, Shen SG, Xu B, Zhang S, et al. Image-guided surgical navigation for removal of foreign bodies in the deep maxillofacial region. J Oral Maxillofac Surg 2013; 71: 1563-1571.
[24] Mosheiff R, Weil Y, Khoury A, Liebergall M The use of computerized navigation in the treatment of gunshot and shrapnel injury. Comput Aided Surg 2004; 9: 39-43.
[25] Bumm K, Bohr C, Bozzato A, Wurm J Soft tissue navigation and image-guided removal of foreign bodies in head and neck surgery. HNO 2009; 57: 1016-1022.
[26] Koo Ng NK, Jaberoo MC, Pulido M, Olver JM, Saleh HA Image guidance removal of a foreign body in the orbital apex. Orbit 2009; 28: 404-407.
[27] Grobe A, Weber C, Schmelzle R, Heiland M, Klatt J, et al. The use of navigation (BrainLAB Vector vision (2)) and intraoperative 3D imaging system (Siemens Arcadis Orbic 3D) in the treatment of gunshot wounds of the maxillofacial region. Oral Maxillofac Surg 2009; 13: 153-158.
[28] Schultes G, Zimmermann V, Feichtinger M, Gaggl A, Karcher H Removal of osteosynthesis material by minimally invasive surgery based on 3-dimensional computed tomography-guided navigation. J Oral Maxillofac Surg 2003; 61: 401-405.
[29] Schulz C, Woerner U, Luelsdorf P Image-guided neurosurgery for secondary operative removal of projectiles after missile injury of the brain. Surg Neurol 2008; 69: 364-368.
[30] Eggers G, Haag C, Hassfeld S Image-guided removal of foreign bodies. Br J Oral Maxillofac Surg 2005; 43: 404-409.
[31] Holmes PJ, Miller JR, Gutta R, Louis PJ Intraoperative imaging techniques: a guide to retrieval of foreign bodies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 614-618.
[32] Siessegger M, Mischkowski RA, Schneider BT, Krug B, Klesper B, et al. Image guided surgical navigation for removal of foreign bodies in the head and neck. J Craniomaxillofac Surg 2001; 29: 321-325.
[33] He B, Xu C, Mao Y, Mao J, Shen L, et al. A novel navigation system to guide metallic foreign body extraction. Int J Comput Assist Radiol Surg 2016; 11: 2105-2110.
[34] Ji Y, Jiang H, Wan L, Yuan H Effect of Navigation System on Removal of Foreign Bodies in Head and Neck Surgery. J Craniofac Surg 2018; 29: e723-e726.
[35] Ma W, Wang LD, Liang Y, Li M Application of a digital guide in the removal of foreign body from the maxillofacial region. Br J Oral Maxillofac Surg 2019; 57: 708-709.
[36] Kumar V, Gour S, Chaube RK, Chaube RK, Gupta A, et al. Surgical Navigation in Oral and Maxillofacial Surgery: A Review. Clin Res Open Access 2018; 4: 1-6.
[37] Sukegawa S, Kanno T, Furuki Y Application of computer-assisted navigation systems in oral and maxillofacial surgery. Jpn Dent Sci Rev 2018; 54: 139-149.
[38] Kaviani F, Javad Rashid R, Shahmoradi Z, Gholamian M Detection of foreign bodies by spiral computed tomography and cone beam computed tomography in maxillofacial regions. J Dent Res Dent Clin Dent Prospects 2014; 8: 166-171.
[39] Xing GF, Shi CW, Qian HX, Qin XJ Novel methods of removing metallic foreign body from human soft tissue: a report of 7390 cases. J Surg Res 2013; 183: 337-340.
Cite This Article
  • APA Style

    Peng Li, Hongyu Guan, Jing Song, Dahong Huang. (2021). Removal of Foreign Body Aided with Various Navigation Modalities: A Case Report and Literature Review. Journal of Surgery, 9(2), 86-92. https://doi.org/10.11648/j.js.20210902.19

    Copy | Download

    ACS Style

    Peng Li; Hongyu Guan; Jing Song; Dahong Huang. Removal of Foreign Body Aided with Various Navigation Modalities: A Case Report and Literature Review. J. Surg. 2021, 9(2), 86-92. doi: 10.11648/j.js.20210902.19

    Copy | Download

    AMA Style

    Peng Li, Hongyu Guan, Jing Song, Dahong Huang. Removal of Foreign Body Aided with Various Navigation Modalities: A Case Report and Literature Review. J Surg. 2021;9(2):86-92. doi: 10.11648/j.js.20210902.19

    Copy | Download

  • @article{10.11648/j.js.20210902.19,
      author = {Peng Li and Hongyu Guan and Jing Song and Dahong Huang},
      title = {Removal of Foreign Body Aided with Various Navigation Modalities: A Case Report and Literature Review},
      journal = {Journal of Surgery},
      volume = {9},
      number = {2},
      pages = {86-92},
      doi = {10.11648/j.js.20210902.19},
      url = {https://doi.org/10.11648/j.js.20210902.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210902.19},
      abstract = {Background: Computerized surgical navigation (CSN) has many potential applications in foreign body (FB) removal. Case report: While playing, a 14-year-old girl was accidentally shot in the facial area with a shotgun. Removal of the superficial shots and of the left eyeball was performed at a local hospital. She was transferred to the West China Hospital of Stomatology (Sichuan, China) on the third day after the accident due to difficulties in removing the remaining shots. Except for left eye vision loss, there was no abnormal physical or laboratory test. Spiral computed tomography (CT) scan of the head was performed and data were imported into the iplan software of the VectorVision2 navigation system. A dynamic reference frame was fixed to the skull and another to the forceps. Eight shots were successfully removed. One shot could not be removed because of significant shifting. At 1 month, the incisions were successfully healed and there were no symptoms or signs. Conclusion: The case presented here and the relevant literature about CSN indicates that CSN is a valuable modality for the removal of FBs, not only in the craniomaxillofacial area, but anywhere in the body.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Removal of Foreign Body Aided with Various Navigation Modalities: A Case Report and Literature Review
    AU  - Peng Li
    AU  - Hongyu Guan
    AU  - Jing Song
    AU  - Dahong Huang
    Y1  - 2021/04/13
    PY  - 2021
    N1  - https://doi.org/10.11648/j.js.20210902.19
    DO  - 10.11648/j.js.20210902.19
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 86
    EP  - 92
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20210902.19
    AB  - Background: Computerized surgical navigation (CSN) has many potential applications in foreign body (FB) removal. Case report: While playing, a 14-year-old girl was accidentally shot in the facial area with a shotgun. Removal of the superficial shots and of the left eyeball was performed at a local hospital. She was transferred to the West China Hospital of Stomatology (Sichuan, China) on the third day after the accident due to difficulties in removing the remaining shots. Except for left eye vision loss, there was no abnormal physical or laboratory test. Spiral computed tomography (CT) scan of the head was performed and data were imported into the iplan software of the VectorVision2 navigation system. A dynamic reference frame was fixed to the skull and another to the forceps. Eight shots were successfully removed. One shot could not be removed because of significant shifting. At 1 month, the incisions were successfully healed and there were no symptoms or signs. Conclusion: The case presented here and the relevant literature about CSN indicates that CSN is a valuable modality for the removal of FBs, not only in the craniomaxillofacial area, but anywhere in the body.
    VL  - 9
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Foshan Stomatology Hospital, Foshan University, Foshan, P. R. China

  • Foshan Stomatology Hospital, Foshan University, Foshan, P. R. China

  • Foshan Stomatology Hospital, Foshan University, Foshan, P. R. China

  • Foshan Stomatology Hospital, Foshan University, Foshan, P. R. China

  • Sections