A graphite foreign body granuloma that caused palatal perforation. Case report and literature review

• Athina Tosiou ^[1] ; Eleni-Marina Kalogirou ^[2] ; Dimitrios Vlachodimitropoulos ^[1] ; Konstantinos I. Tosios ^[1] ; Vasileios Petsinis ^[1]
  1. [1] National and Kapodistrian University of Athens

     National and Kapodistrian University of Athens

     Dimos Athens, Grecia

     
  2. [2] Metropolitan College

     Metropolitan College

     Dimos Athens, Grecia

     
• Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 16, Nº. 5 (May), 2024, págs. 656-660
• Idioma: inglés
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• Resumen

  • We present an unusual case of a graphite foreign body granuloma causing palatal perforation.

    A 62-year-old female presented with a macule on the hard palate clinically consistent with a blue nevus. On biopsy a black nodular mass was excised, establishing oroantral communication that was verified by a computed tomography scan. A diagnosis of malignant melanoma was strongly suspected, but microscopic examination showed a graphite foreign body granuloma. It was suggested that the graphite was implanted in a thin area of the palatal bone causing perforation.

    Graphite tattoos should be excised, both for diagnostics purposes and the possibility of causing tissue destruction by generating a foreign body granuloma reaction.