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Int Arch Otorhinolaryngol 2015; 19(04): 364-366
DOI: 10.1055/s-0035-1547522
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Foreign Body in Jugal Mucosa

Thiago Luís Infanger Serrano
1   Department of Otolaryngology, Head and Neck Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil
,
Henrique Furlan Pauna
1   Department of Otolaryngology, Head and Neck Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil
,
Igor Moreira Hazboun
1   Department of Otolaryngology, Head and Neck Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil
,
Ana Cristina Dal Rio
2   Department of Otorhinolaringology and Multidisciplinary Laser Unit, UNICAMP, Campinas, São Paulo, Brazil
,
Maria Elvira Pizzigatti Correa
2   Department of Otorhinolaringology and Multidisciplinary Laser Unit, UNICAMP, Campinas, São Paulo, Brazil
,
Ester Maria Danielli Nicola
1   Department of Otolaryngology, Head and Neck Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

21 November 2014

26 January 2015

Publication Date:
13 March 2015 (online)

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Abstract

Introduction Foreign body in the oral cavity may be asymptomatic for long time and only sometimes it can lead to a typical granulomatous foreign body reaction. Some patients may complain of oral pain and present signs of inflammation with purulent discharge. A granuloma is a distinct, compact microscopic structure composed of epithelioid-shaped macrophages typically surrounded by a rim of lymphocytes and filled with fibroblasts and collagen. Nowadays, the increase of cosmetic invasive procedures such as injection of prosthetic materials in lips and cheeks may lead to unusual forms of inflammatory granulomas.

Objectives Describe an unusual presentation of a foreign body reaction in the buccal mucosa due to previous injection of cosmetic agent.

Resumed Report A 74-year-old woman was referred to the Department of Otorhinolaryngology, Head and Neck Surgery to investigate the presence of multiple painless, bilateral nodules in the buccal mucosa, with progressive growth observed during the previous 2 months. The histologic results showed a foreign body inflammatory reaction.

Conclusion Oral granulomatosis lesions represent a challenging diagnosis for clinicians and a biopsy may be necessary. Patients may feel ashamed to report previous aesthetic procedures, and the clinicians must have a proactive approach.

Keywords

foreign body reaction - granulomatosis - orofacial - differential diagnoses - esthetic surgery
 

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