Journal of Maxillofacial and Oral Surgery

, Volume 19, Issue 1, pp 50–53 | Cite as

Maxillofacial Gossypiboma: Case Report, Review of the Literature, and Diagnosis Algorithm

  • Francisco Samuel Rodrigues Carvalho
  • Fábio Wildson Gurgel Costa
  • Filipe Nobre ChavesEmail author
  • Henrique Clasen Scarparo
  • Eduardo Costa Studart Soares
Case Report


Gossypiboma is a retained surgical sponge and represents a rare complication with an uncertain incidence probably due to medical–legal implications. It is an iatrogenic condition solely due to human factors. While the medical literature has previously described cases of this entity after orthopedic, abdominal, otorhinolaryngology, and plastic surgery procedures, gossypibomas in oral and maxillofacial region are uncommon. It can mimic neoplasms or other injuries, which may promote a delayed diagnosis; thus, the differential diagnosis should be based on clinical history in each particular case. Although there are no pathognomonic features of gossypiboma in oral and maxillofacial region, the most common symptoms suggestive of persistent inflammation include pain, fever, swelling, surgical wounds that do not heal, and purulent drainage. The aim of this study was to report a maxillofacial gossypiboma misdiagnosed as third molar surgery-related odontogenic infection and a diagnosis algorithm.


Foreign bodies Gossypibomas Retained surgical sponge Third molar 


Author’s Contribution

All authors have read, approved, made substantive contribution to this manuscript and/or work, and reviewed the final version of this paper prior to its submission.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from participant included in the study.


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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  1. 1.Division of Oral and Maxillofacial SurgeryUniversity of Fortaleza – UNIFORFortalezaBrazil
  2. 2.Post-graduate Program in DentistryFederal University of CearáFortalezaBrazil
  3. 3.Division of Oral Radiology, Department of Clinical DentistryFederal University of CearáFortalezaBrazil
  4. 4.Department of Clinical DentistryFederal University of Ceará Campus SobralSobralBrazil
  5. 5.Division of Clinical Pharmacology, Department of Clinical DentistryFederal University of CearáFortalezaBrazil
  6. 6.Division of Oral and Maxillofacial Surgery, Walter Cantídio University HospitalFederal University of CearáFortalezaBrazil

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