Foreign Body in Jugal Mucosa.
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.
Department of Otolaryngology, Head and Neck Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Thiago Luís Infanger
TL
Serrano
Department of Otolaryngology, Head and Neck Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Henrique Furlan
HF
Pauna
Department of Otolaryngology, Head and Neck Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Igor Moreira
IM
Hazboun
Department of Otorhinolaringology and Multidisciplinary Laser Unit, UNICAMP, Campinas, São Paulo, Brazil.
Ana Cristina
AC
Dal Rio
Department of Otorhinolaringology and Multidisciplinary Laser Unit, UNICAMP, Campinas, São Paulo, Brazil.
Maria Elvira Pizzigatti
ME
Correa
Department of Otolaryngology, Head and Neck Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Ester Maria Danielli
EM
Nicola
differential diagnoses; esthetic surgery; foreign body reaction; granulomatosis; orofacial