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
This is a preview of subscription content, log in to check access.
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 was obtained from participant included in the study.
Amr AE (2009) A submandibular gossypiboma mimicking a salivary fistula: a case report. Cases J 2:6413CrossRefGoogle Scholar
Sigron GR, Locher MC (2011) A gossypiboma (foreign body granuloma) mimicking a residual odontogenic cyst in the mandible: a case report. J Med Case R 5:211CrossRefGoogle Scholar
Song SY, Hong JW, Yoo WM, Tark KC (2009) Gossypiboma after mandibular contouring surgery. J Craniofac Surg 20(5):1607–1610CrossRefGoogle Scholar
Jamjoom FZ, Kallukaran F (2013) Gossypiboma following mandible surgery: a case report and review of the literature. Oral Surg 6:94–97CrossRefGoogle Scholar
Alves-de-Oliveira CN, Pimenta-do-Amaral TM, Ribeiro-Souto G, Alves-Mesquita R (2014) Gossypiboma in the oral region: case report and literature review. J Clin Exp Dent 6(4):e444–e447CrossRefGoogle Scholar
al-Ruhaimi KA, Nwoku AL (1991) An unusual radiopaque image through an orthopantomogram film. Int J Oral Maxillofac Surg 20(2):96–97CrossRefGoogle Scholar
Catterlin RK, Throndson RR (1993) Iodoform gauze with a radiopaque filament. Oral Surg Oral Med Oral Pathol 76(2):257CrossRefGoogle Scholar
Park CM, Choi KY, Heo SJ, Kim JS (2014) Unilateral otitis media with effusion caused by retained surgical gauze as an unintended iatrogenic complication of orthognathic surgery: case report. Br J Oral Maxillofac Surg 52(7):e39–e40CrossRefGoogle Scholar
do Park Y, Choo OS, Hong SY, Kim HJ (2015) Infratemporal fossa cellulitis caused by a remnant iatrogenic foreign body after a bimaxillary operation. J Craniofac Surg 26(3):e196–e197CrossRefGoogle Scholar
Mohanavalli S, David JJ, Gnanam A (2011) Rare foreign bodies in oro-facial regions. Indian J Dent Res 22(5):713–715CrossRefGoogle Scholar
Hariharan D, Lobo DN (2013) Retained surgical sponges, needles and instruments. Ann R Coll Surg Engl 95(2):87–92CrossRefGoogle Scholar