Skip to main content

Advertisement

Log in

Uncommon Foreign Body Reactions Occurring in the Lip: Clinical Misdiagnosis and the Use of Special Techniques of Analysis

  • Case Report
  • Published:
Head and Neck Pathology Aims and scope Submit manuscript

Abstract

This study reports three interesting cases of nodular submucosal lip lesions where foreign-body reactions of unknown origin were detected on hematoxylin and eosin (H&E) analysis. These materials were evaluated under polarized light microscopy, scanning electron microscopy and by energy dispersive X-ray analysis. The results revealed the following materials: an interdental toothbrush bristle, silica, and iron. Unusual mucosal foreign body reaction cases have been reported, but few publications used special techniques to identify the specific foreign material. Clinicians and pathologists might consider these techniques for identifying the precise origin of these foreign bodies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

References

  1. Leknes KN, RØynstrand IT, Selvig KA. Human gingival tissue reactions to silk and expanded polytetrafluoroethylene sutures. J Periodontol. 2005;76:34–42.

    Article  PubMed  Google Scholar 

  2. Koppang HS, Roushan A, Srafilzadeh A, et al. Foreign body gingival lesions: distribution, morphology, identification by X-ray energy dispersive analysis and possible origin of foreign material. J Oral Pathol Med. 2007;36:161–72.

    Article  CAS  PubMed  Google Scholar 

  3. Bisch WE, Melrose RJ. Foreign body in the lips. Oral Surg Oral Med Oral Pathol. 1966;21:407–8.

    Article  CAS  PubMed  Google Scholar 

  4. Somborac M. Removal of a foreign body from the lip. J Can Dent Assoc (Tor). 1971;37:353–4.

    CAS  Google Scholar 

  5. Crouse VL. Migration of a broken anesthetic needle—report of a case. S C Dent J. 1970;28:16–9.

    CAS  PubMed  Google Scholar 

  6. Sugarman EF, Weathers DR. An unusual foreign body reaction–a case report. J Periodontol. 1977;48:290–3.

    CAS  PubMed  Google Scholar 

  7. Gerry RG, Koop WK. Wooden foreign body in paraphayngeal space: report of a case. J Oral Surg. 1966;24:545–8.

    CAS  PubMed  Google Scholar 

  8. Soubhia AMP, Ribeiro ACP, Martins LD, Silva ARS, Lopes MA. Unusual wooden foreign body in the palate. Br Dent J. 2007;203:573–4.

    Article  CAS  PubMed  Google Scholar 

  9. Boon M, Pribitkin E, Spiegel J, et al. Lingual abscess from a grill cleaning brush bristle. Laryngoscope. 2009;119:79–81.

    Article  PubMed  Google Scholar 

  10. Rocha AC, Bernabé DG, Filho GA, et al. Foreign body in the hard palate of children and risk of misdiagnosis: report of three cases. J Oral Maxillofac Surg. 2009;67:899–902.

    Article  PubMed  Google Scholar 

  11. Tseng E, Woolley AL. Foreign body simulating a hard palate lesion in a child. Int J Pediatr Otorhinolaryngol. 1996;38:169–74.

    Article  CAS  PubMed  Google Scholar 

  12. Jong AL, Moola F, Kramer D, Forte V. Foreign bodies of the hard palate. Int J Pediatr Otorhinolaryngol. 1998;43:27–31.

    Article  PubMed  Google Scholar 

  13. Ondik MP, Daw JL. Unusual foreign body of the hard palate in an infant. J Pediatr. 2004;144:550.

    Article  PubMed  Google Scholar 

  14. Creath CJ, Steinmetz S, Roebuck R. A case report. Gingival swelling due to a fingernail-biting habit. J Am Dent Assoc. 1995;126:1019–21.

    CAS  PubMed  Google Scholar 

  15. Riddle PJ, Font RL, Johnson FB, et al. Silica granuloma of eyelid and ocular adnexa. Arch Ophthalmol. 1981;99:683–7.

    CAS  PubMed  Google Scholar 

  16. Hannon SM, Pickett AB, Frost JM. Foreign-body (silica) granuloma of the lip. J Oral Maxillofac Surg. 1983;41:470–2.

    Article  CAS  PubMed  Google Scholar 

  17. Jahm BC, Nikitakis NG, Scheper MA, et al. Granulomatous foreign-body reaction involving oral and perioral tissues after injection of biomaterials: a series of 7 cases and review of the literature. J Oral Maxillofac Surg. 2009;67:280–5.

    Article  Google Scholar 

  18. Mowry RG, Sams WM Jr, Caulfield JB. Cutaneous silica granuloma. A rare entity or rarely diagnosed? Report of two cases with review of the literature. Arch Dermatol. 1991;127:692–4.

    Article  CAS  PubMed  Google Scholar 

  19. Lombardi T, Samson J, Plantier F, et al. Orofacial granulomas after injection of cosmetic fillers. Histopathologic and clinical study of 11 cases. J Oral Pathol Med. 2004;33:115–20.

    Article  CAS  PubMed  Google Scholar 

  20. Ng KH, Siar CH, Ganesapillai T. Sarcoid-like foreign body reaction in body piercing: a report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;84:28–31.

    Article  CAS  PubMed  Google Scholar 

  21. Boztepe G, Rakhshanfar M, Erkin G, et al. Cutaneous silica granuloma: a lesion that might be clinically underdiagnosed. Eur J Dermatol. 2005;15:194–5.

    PubMed  Google Scholar 

Download references

Aknowledgments

The authors gratefully thank Adriano Luis Martins from the Department of Oral Diagnosis, Piracicaba Dental School—UNICAMP, for his contribution to the scanning analysis.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Adriele Ferreira Gouvêa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gouvêa, A.F., Hanemann, J.A.C., Pereira, A.A.C. et al. Uncommon Foreign Body Reactions Occurring in the Lip: Clinical Misdiagnosis and the Use of Special Techniques of Analysis. Head and Neck Pathol 5, 86–91 (2011). https://doi.org/10.1007/s12105-010-0217-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12105-010-0217-z

Keywords

Navigation