Impacted Foreign Bodies in the Facial Region: A Case Series

ABSTRACT Background Penetrating facial injuries can result in embedded foreign bodies that pose diagnostic and therapeutic challenges. These injuries commonly arise from road traffic accidents, assaults, occupational hazards and falls. Undetected foreign bodies can lead to infections, fibrosis, migration or functional impairment, necessitating careful evaluation and timely intervention. This report highlights the importance of a systematic, individualised approach to the diagnosis and management of impacted foreign bodies in the maxillofacial region. By detailing different clinical presentations, this study highlights the role of thorough clinical assessment, appropriate imaging selection, and minimally invasive surgical techniques for retrieval. Case Description We present four cases of foreign body impaction in the facial region: glass fragments from an assault‐related injury, a metallic sickle embedded in the cheek following a farming accident, a retained plastic lip‐piercing component and a large wooden fragment from a fall. Each case was managed based on the nature, location and accessibility of the foreign body. Imaging modalities to ensure precise localisation and surgical removal were performed on a case‐by‐case basis, prioritising tissue preservation, functional restoration and aesthetic considerations. Conclusion The management of retained foreign bodies in the facial region requires a case‐specific approach, taking into account the object's composition, depth, proximity to vital structures and available resources. A combination of appropriate imaging, careful surgical planning and interdisciplinary collaboration ensures successful retrieval while minimising morbidity.