Migration of aluminum silicate from the oral cavity to the submandibular region, with foreign body granuloma formation: report of a case

• Published in: Oral surgery, oral medicine, oral pathology, oral radiology and endodontics Vol. 104; no. 4; pp. e45 - e49
• Main Authors: González-García, Raul, MD, Rodríguez-Campo, Francisco J., MD, Román-Romero, Leticia, Sastre-Pérez, Jesús, MD, Gamallo, Carlos, MD, PhD, Fernández-Herrera, Jesús, MD, Muñoz-Guerra, Mario F., MD, PhD, Naval-Gías, Luis, MD, DMD, PhD
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 01-10-2007
• Subjects: Adult; Aluminum Silicates - adverse effects; Female; Foreign Bodies - complications; Foreign-Body Migration; Granuloma, Foreign-Body - etiology; Granuloma, Foreign-Body - pathology; Humans; Masseter Muscle; Mouth Mucosa; Neck - pathology; Occlusal Splints - adverse effects; Phagocytosis; Surgery; Trismus - therapy
• ISSN: 1079-2104; 1528-395X
• DOI: 10.1016/j.tripleo.2007.04.014

We present the first case of foreign body granuloma in the cervical (submandibular) region as a result of migration of noninjected aluminium silicate particles from the oral mucosa. This migration can be explained by macrophage phagocytosis and transport through the local lymphatic network and surgical disruption of fascial layers. The appearance of foreign body granulomas in distant sites may appear several weeks after the local event in a specific disposition according with the migration route. This entity must be born in mind in differential diagnosis of multiple nodules, pigmentation, or persistent swelling in the cervical-orofacial region.