Publication:
Surgical Removal of a Long-standing Impacted Tooth in Upper Alveolus Following Blast Injury: A Case Report

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2025

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Nepal Medical Association

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Abstract Injuries sustained from foreign bodies and burns after oil drum explosions are addressed immediately. This case reports a rare long-standing retained tooth after such an explosion. A 65-year-old male with a history of a victim of explosion injury to the face dating 20 years back with complaints of repeated nasal vestibulitis was evaluated. An X-ray of paranasal sinus followed by computed tomography of the nose and paranasal sinuses revealed a radio-opaque foreign body in the region of upper alveolus near left nasal vestibule. After consultation and clearance from dental department, exploration through the vestibule was done and the foreign body was removed without complications. Our intervention involved surgical removal of foreign body under local anesthesia. The patient has recovered following the intervention and has resumed his normal activities.

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Arun Adhikari Department of Otolaryngology & HNS, B.P. Eye Foundation, Hospital for Children, Eye, ENT, and Rehabilitation Services, Madhyapur Thimi, Bhaktapur, Nepal Shila Acharya Department of Otolaryngology & HNS, B.P. Eye Foundation, Hospital for Children, Eye, ENT, and Rehabilitation Services, Madhyapur Thimi, Bhaktapur, Nepal Sadhana Sharma Department of Otolaryngology & HNS, B.P. Eye Foundation, Hospital for Children, Eye, ENT, and Rehabilitation Services, Madhyapur Thimi, Bhaktapur, Nepal Luna Mathema Department of Otolaryngology & HNS, B.P. Eye Foundation, Hospital for Children, Eye, ENT, and Rehabilitation Services, Madhyapur Thimi, Bhaktapur, Nepal Bijay Khatri Academic and Research Department, B.P. Eye Foundation, Hospital for Children, Eye, ENT, and Rehabilitation Services, Madhyapur Thimi, Bhaktapur, Nepal

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