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Suggest Treatment For Metallic Densities Within Cheek With Edema
Question: They found 3 separate small metallic densities within my right cheek with edema? What exactly do this mean? This was found on a cat scan with contract. I had a nerve graft for bells palsy in July. I developed a foreign body granuloma. Is the granuloma a apart of the metallic densities seen on the scan or something else. Not sure exactly what it means. Can these metallic have caused densities the granulomas, I developed batercia in my face when a slice of silicone was implanted during the surgery. The surgeon took out in the office that's when I became sick,
Brief Answer:
Granuloma surrounds the Foreign bodies, both cause different densities
Detailed Answer:
Hi Madam.
Happy to see and assist you again.
We had a discussion 2 days ago on same topic- in part.
Read your history of a silicon implant in the cheek, which had be be removed for the reaction it created. This was opened and removed in the office.
Silicon is radio-opaque meaning it is seen on X-ray / CT scan.
It is possible that the a very small part of silicon sheet might have remained in the layer when it was inserted. These three particles may be seen on the CT scan as metallic.Since you have got a reaction with silicon, it is possible that the remaining very small parts must have caused the reaction to give a picture as seen in the CT scan. Edema (swelling) in this part and particularly after an associated infection might have caused the present situation as seen clinically and on CT scan.
Granuloma in simple language is cornification of the tissues. This is body's natural response to any foreign body to encase it, ward it off from rest of the body so that it is segregated to cause least possible side effect. This is picked up as hypodense areas in the CT scan, in which the 3 mm metalic (silicon in your case) foreign bodies are seen.
Because of the reaction, hematoma or seroma formed. This is the richest medium in which the bacteria can grow very fast, hence you might have got the infection.
I can understand the plight you must be going through.
How is the condition now ? Is there still signs of infection (swelling / redness/ pain) ? Or just edema and scar ?
You may also post a clear picture of your face attached to this query as
YYYY@YYYY , which may help me to see the exact clinical picture you are going through and advise further.
Please fell free to any relevant queries or if you feel that there is a gap-of-communication.
Granuloma surrounds the Foreign bodies, both cause different densities
Detailed Answer:
Hi Madam.
Happy to see and assist you again.
We had a discussion 2 days ago on same topic- in part.
Read your history of a silicon implant in the cheek, which had be be removed for the reaction it created. This was opened and removed in the office.
Silicon is radio-opaque meaning it is seen on X-ray / CT scan.
It is possible that the a very small part of silicon sheet might have remained in the layer when it was inserted. These three particles may be seen on the CT scan as metallic.Since you have got a reaction with silicon, it is possible that the remaining very small parts must have caused the reaction to give a picture as seen in the CT scan. Edema (swelling) in this part and particularly after an associated infection might have caused the present situation as seen clinically and on CT scan.
Granuloma in simple language is cornification of the tissues. This is body's natural response to any foreign body to encase it, ward it off from rest of the body so that it is segregated to cause least possible side effect. This is picked up as hypodense areas in the CT scan, in which the 3 mm metalic (silicon in your case) foreign bodies are seen.
Because of the reaction, hematoma or seroma formed. This is the richest medium in which the bacteria can grow very fast, hence you might have got the infection.
I can understand the plight you must be going through.
How is the condition now ? Is there still signs of infection (swelling / redness/ pain) ? Or just edema and scar ?
You may also post a clear picture of your face attached to this query as
YYYY@YYYY , which may help me to see the exact clinical picture you are going through and advise further.
Please fell free to any relevant queries or if you feel that there is a gap-of-communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I uploaded a picture. Its a little better then that now, but it looks like this now, with my skin lighter. Im very concerned about the healing, and if my face will be able to be fixed. I appreciate your help .
Brief Answer:
Medical management and multivitamins
Detailed Answer:
Thanks for the picture, can see the real problem.
With the condition you are in at the moment and as you explained, I think we should concentrate on the medicinal aspect till the infection is settled.
The best results of any surgery, particularly the reconstructive / plastic surgery depends upon the healthy nature of the skin and the tissues underneath.
Along with the Antibiotics and anti-inflammatory medicines you should take multivitamins as anti-oxidants. These help for a good recovery.
Next surgery is better avoided till rejuvenation of all the tissues, unless there is a need like drainage of the abscess or removal of the foreign bodies.
Avoid any fondling, popping of the area.
Yes you can certainly continue with the exercises of the muscles of the face, best done yourself in front of the mirror.
I hope this answer helps you for proper decision making, please feel free to ask for more if you need any sort of clarification.
Medical management and multivitamins
Detailed Answer:
Thanks for the picture, can see the real problem.
With the condition you are in at the moment and as you explained, I think we should concentrate on the medicinal aspect till the infection is settled.
The best results of any surgery, particularly the reconstructive / plastic surgery depends upon the healthy nature of the skin and the tissues underneath.
Along with the Antibiotics and anti-inflammatory medicines you should take multivitamins as anti-oxidants. These help for a good recovery.
Next surgery is better avoided till rejuvenation of all the tissues, unless there is a need like drainage of the abscess or removal of the foreign bodies.
Avoid any fondling, popping of the area.
Yes you can certainly continue with the exercises of the muscles of the face, best done yourself in front of the mirror.
I hope this answer helps you for proper decision making, please feel free to ask for more if you need any sort of clarification.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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