Charm needles (susuk)
Charm needles or "susuk" are talismans alleged to be made of gold or other precious metals, which are inserted into the soft tissue of the body. They are believed to enhance beauty, youth, health and fortune.
This practice is found among both men and women of Southeast Asian countries, commonly Malaysia, Brunei, Singapore, Thailand, and Indonesia. They are usually inserted into the soft tissues by a bomoh (Malay shaman) and can only be removed by the same bomoh.
They are often asymptomatic, incidental findings without noticeable scars on the skin. Some cultures consider this practice "forbidden", hence, the individual keeps them secret or may not even be aware of its existence (if inserted at a young age), but are revealed when radiographs are taken.
Susuk needles are deemed to be MRI safe due to a lack of ferromagnetic elements in their composition 5.
These needles are radiopaque on radiographs and are between 0.5 to 1 mm in diameter and 5 to 10 mm in length. They are often inserted into the maxillofacial region and breast but may also be found in the chest, abdomen, spine, mons pubis and limbs.
- surgical clips
- acupuncture needles
- brachytherapy seeds
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- 2. Phrabhakaran Nambiar, Norliza Ibrahim, Yeti Rosalina Muslim Tandjung, P. Shanmuhasuntharam. Susuks (charm needles) in the craniofacial region. (2018) Oral Radiology. 24 (1): 10. doi:10.1007/s11282-008-0069-3 - Pubmed
- 3. Shanmuhasuntharam P, Ghani SH. Susuks: charm needles in facial soft tissues. (1991) British dental journal. 170 (8): 309-11. doi:10.1038/sj.bdj.4807525 - Pubmed
- 4. Devang Divakar D, Mavinapalla S, Al Kheraif AA, Ramakrishnaiah R, Abd Rahim MF, Khan AA. Incidental radiographic finding of the concealed art of susuk. (2016) Medicine, science, and the law. 56 (3): 230-2. doi:10.1177/0025802415599567 - Pubmed
- 5. Martin JL, Vlachou PA. Case 263: Malaysian Charm Needles (Susuk). (2019) Radiology. 290 (3): 843-847. doi:10.1148/radiol.2019162113 - Pubmed