Share This Article:

Susuk: Charm needles in orofacial soft tissues

Abstract Full-Text HTML Download Download as PDF (Size:332KB) PP. 155-162
DOI: 10.4236/ojst.2013.32028    8,372 Downloads   10,688 Views   Citations

ABSTRACT

Purpose of the Study: To understand the reasons for charm needle insertions, chemical constituents of charm needles and their significance to magnetic resonance imaging. Materials and Methods: Confidential interviews were used to collect information from charm needle wearers. Two attempts at surgical removal of charm needles were carried out. Charm needle samples were chemically analyzed using EPMA method. A review of literature on the possible complications of charm needles in relation to MRI was made. Results: Patients had varied reasons for wearing charm needles including to be physically attractive, to overcome personal problems and for protection. Charm needles were made of gold alloy consisting of gold (85.2%-88.6%), copper (9.3%-10.8%) and trace elements of aluminium and silver. As such, MRI may not be a hazard to charm needle wearers given the fact that gold is non-ferromagnetic. However, artefacts may potentially distort the MR imaging. Conclusion: A tactful manner in handling these patients may be to ignore the needles unless a clinical need warrants intervention. The surgical removal of these needles may be a straightforward procedure, but the localization is usually a challenging task. At present, the pertinent literature does not contain carefully controlled studies that demonstrate the absolute safety of charm needle exposure to powerful magnetic fields.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Balasundram, S. , Yee, S. and Shanmuhasuntharam, P. (2013) Susuk: Charm needles in orofacial soft tissues. Open Journal of Stomatology, 3, 155-162. doi: 10.4236/ojst.2013.32028.

References

[1] Shanmuhasuntharam, P. and Ghani, S.H.A. (1991) Susuks: Charm needles in facial soft tissues. British Dental Journal, 170, 309-311. doi:10.1038/sj.bdj.4807525
[2] Layton, S. (1991) Letters: Susuks, charm needles in facial soft tissues. British Dental Journal, 170, 40. doi:10.1038/sj.bdj.4807568
[3] Oon, C.L (1973) Correspondence, “Charm needles”. Medical Journal of Malaysia, 27, 231-232.
[4] Stankiewics, N. (2000) Letters to the editors, Susuks. Dentomaxillofacial Radiology, 29, 254-255.
[5] de Keizer, R.J. and te Strake, L. (1986) Intraocular lens implants (pseudophakoi) and steelwire sutures: A contraindication for MRI? Documenta Ophthalmologica, 61, 281-284. doi:10.1007/BF00142354
[6] Schrom, T., Thelen, A., Asbach, P. and Bauknecht, H.C. (2006) Effect of 7.0 Tesla MRI on upper eyelid implants. Ophthalmic Plastic & Reconstructive Surgery, 22, 480-482. doi:10.1097/01.iop.0000240807.42320.d9
[7] Nambiar, P., Ibrahim, N., Tandjung, Y.R.M. and Shanmuhasuntharam, P. (2008) Susuks (charm needles) in the craniofacial region. Oral Radiology, 24, 10-15. doi:10.1007/s11282-008-0069-3
[8] Dempsey, M.F., Condon, B. and Hadley, D.M. (2002) MRI safety review. Seminars in Ultrasound, CT, and MRI, 23, 392-401. doi:10.1016/S0887-2171(02)90010-7
[9] Loh, F.C. and Ling, S.Y. (1992) Analysis of the metallic composition of orofacial talismans. Oral Surgery, Oral Medicine, Oral Pathology, 73, 281-282. doi:10.1016/0030-4220(92)90121-6
[10] Chao, T.C. (1997) Beware of charm needles! Journal of Clinical Forensic Medicine, 4, 33-35. doi:10.1016/S1353-1131(97)90006-7
[11] Loh, F.C. and Yeo, J.F. (1989) Talisman in the orofacial region. Oral Surgery, Oral Medicine, Oral Pathology, 68, 252-255. doi:10.1016/0030-4220(89)90204-1
[12] Teo, S.K. (2006) A woman with hidden charm needles. The Journal of the Royal College of Physicians of Edinburgh, 36, 211-212.
[13] Lim, E.C., Ng, T.H. and Seet, R.C. (2005) A woman whose radiographs showed subcutaneous metallic objects. Canadian Medical Association Journal, 19, 150.
[14] Donovan, J.J., Goldstein, J.I., Newbury, D.E., Echlin, P., Joy, D.C., Fiori, C. and Lifshin, E. (1992) Scanning electron microscopy and X-ray microsanalysis. 2nd Edition, Electron Probe Microanalysis, Plenum, New York.
[15] Shellock, F.G. and Crues, J.V. (2004) MR procedures, biologic effects, safety, and patient care. Radiology, 232, 635-652. doi:10.1148/radiol.2323030830
[16] Shellock, F.G. and Spinazzi, A. (2008) MRI safety update 2008, part 1: MRI contrast agents and nephrogenic systemic fibrosis. American Journal of Roentgenology, 191, 1129-1139. doi:10.2214/AJR.08.1038.1
[17] Shellock, F.G. and Spinazzi, A. (2008) MRI safety update 2008, part 2: Screening patients for MRI. American Journal of Roentgenology, 191, 1140-1149. doi:10.2214/AJR.08.1038.2
[18] Boutin, R.D., Briggs, J.E. and Williamson, M.R. (1994) Injuries associated with MR imaging, survey of safety records and methods used to screen patients for metallic foreign bodiesbefore imaging. American Journal of Roentgenology, 162, 189-194. doi:10.2214/ajr.162.1.8273663
[19] Shellock, F.G. and Crues 3rd, J.V. (2002) MR Safety and the American College of Radiology White Paper. American Journal of Roentgenology, 178, 1349-1352. doi:10.2214/ajr.178.6.1781349

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.