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Shah HY, Elshaer RE, Arabi TZ, Sabbah BN, Alokby G. Endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: A case report. Int J Surg Case Rep 2022; 96:107280. [PMID: 35751964 PMCID: PMC9234596 DOI: 10.1016/j.ijscr.2022.107280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/02/2022] [Accepted: 06/02/2022] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Foreign bodies in paranasal sinuses are rarely encountered and most commonly present in the maxillary sinus. Guidelines for managing paranasal sinus object removal are limited due to its rarity. However, there are three major management options: open surgery, endoscopic sinus surgery, and observation. CASE PRESENTATION We report a rare case of an 18-year-old boy who underwent extended frontal sinus surgery to retrieve a retained air gun pellet in the right frontal sinus and repair the skull base defect resulting from the air gun pellet. CLINICAL DISCUSSION Physicians commonly use endoscopic sinus surgery (ESS) for improving sinus drainage in recurrent chronic and acute infective sinusitis. Extended sinus surgery aims to maximize the communication between the paranasal sinuses and the nasal cavity. This extended communication helps improve access to the sinus, enhance drainage, and improve the delivery of topical medications. In addition, the use of ESS with the modified Lothrop procedure allows for better exposure of the skull base, which can help with the repair of a CSF leak. CONCLUSION Based on our experience with this patient and similar literature, ESS should be considered a treatment option for patients with retained foreign objects in the frontal sinus.
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Affiliation(s)
| | | | | | - Belal Nedal Sabbah
- College of Medicine, Alfaisal University, Riyadh, Saudi Arabia,Corresponding author at: 7357 Al-Hayaniyah Street, Riyadh 19705, Saudi Arabia.
| | - Ghassan Alokby
- Department of Otolaryngology-Head and Neck Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Calvaruso F, Alicandri-Ciufelli M, Presutti L, Molinari G. Technique for foreign-body removal with the use of transnasal endoscopic prelacrimal approach - A case report. Ann Maxillofac Surg 2022; 12:69-71. [PMID: 36199450 PMCID: PMC9527828 DOI: 10.4103/ams.ams_214_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 09/17/2021] [Accepted: 12/16/2021] [Indexed: 11/09/2022] Open
Abstract
The Rationale: Foreign body (FB) in the nasal cavities is a frequent cause of otolaryngology emergency consultation that sometimes requires surgical treatment. When there is involvement of the posterolateral wall of the maxillary sinus (MS) and of the pterygopalatine fossa (PPF), conventional techniques such as antrostomy and medial endoscopic maxillectomy may not allow sufficient domination of the surgical field. Patient Concerns: We report the case of a woman who suffered from intranasal trauma with epistaxis and pain. Diagnosis: A computed tomography scan revealed a metallic FB at the level of the right posterolateral wall of the MS, PPF, and greater wing of the sphenoid bone. Treatment and Outcome: A minimally invasive transnasal endoscopic prelacrimal approach was chosen for its removal. Take-away Lessons: The postoperative recovery was rapid and without complication.
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Meva'a Biouélé RC, Atanga LC, Ananga SP, Njock LR. Limitations of endoscopy for removal of an impacted sinonasal ballistic foreign body. Eur Ann Otorhinolaryngol Head Neck Dis 2021; 139:113-114. [PMID: 34866019 DOI: 10.1016/j.anorl.2021.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- R-C Meva'a Biouélé
- Service ORL-CCF, Hôpital Central, Yaoundé, Cameroon; Département d'Ophtalmologie-ORL-Stomatologie, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroon.
| | - L-C Atanga
- Département d'Ophtalmologie-ORL-Stomatologie, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroon
| | - S-P Ananga
- Service ORL Hôpital militaire de Yaoundé-Cameroun, Yaoundé, Cameroon
| | - L-R Njock
- Département d'Ophtalmologie-ORL-Stomatologie, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroon
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Viljoen G, Tromp S, Goncalves N, Semple P, Lubbe D. Orbito-Cranial Gunshot Injuries with Retained Sinonasal Bullets. J Maxillofac Oral Surg 2021; 20:551-557. [PMID: 34776683 DOI: 10.1007/s12663-020-01365-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Accepted: 04/01/2020] [Indexed: 12/01/2022] Open
Abstract
Introduction Gunshot injuries to the sino-orbital region are rare. In South Africa, where gunshot injuries are common, sino-orbital gunshot injuries are encountered. Sino-orbital gunshot injuries are associated with trauma to surrounding facial and intracranial structures. Therefore, the management of these injuries may be complex and often requires an interdisciplinary approach. Aims To review the management of orbito-cranial gunshot injuries with retained sinonasal bullets. Patients and methods Three cases of orbito-cranial gunshot injuries with retained sinonasal bullets were reviewed. Two cases were complicated by cerebrospinal fluid leaks with ensuing meningitis. The retained bullets in all three cases were successfully removed via a transnasal endoscopic approach. Conclusion Sino-orbital gunshot injuries are rare, but may be encountered in areas with high frequencies of gun violence. An associated anterior skull base fracture with CSF rhinorrhoea poses a risk for meningitis and a low threshold for diagnosis and treatment of meningitis should be maintained. Retained bullets in the paranasal sinuses do not pose an immediate risk and may be removed on an elective basis.
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Affiliation(s)
- Gerrit Viljoen
- Division of Otorhinolaryngology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Sean Tromp
- Division of Neurosurgery, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Nicholas Goncalves
- Division of Otorhinolaryngology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Patrick Semple
- Division of Neurosurgery, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Darlene Lubbe
- Division of Otorhinolaryngology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
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5
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An Unusual and Neglected Foreign Body in the Ethmoid Sinus. Indian J Otolaryngol Head Neck Surg 2019; 71:2044-2046. [DOI: 10.1007/s12070-018-1461-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 07/23/2018] [Indexed: 11/30/2022] Open
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6
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Gray ML, Kappauf C, Govindaraj S. Management of an Unusual Intranasal Foreign Body Abutting the Cribriform Plate: A Case Report and Review of Literature. CLINICAL MEDICINE INSIGHTS. EAR, NOSE AND THROAT 2019; 12:1179550619858606. [PMID: 31308785 PMCID: PMC6604121 DOI: 10.1177/1179550619858606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Accepted: 05/21/2019] [Indexed: 11/17/2022]
Abstract
A 35-year-old man with history of schizophrenia presented 3 weeks after placing a screw in his right nostril. Initial imaging showed a screw in the right ethmoid sinus with the tip penetrating the right cribriform plate. On exam, the patient was hemodynamically stable with purulent drainage in the right nasal cavity but no visible foreign body. While most nasal foreign bodies occur in children and are generally removed at the bedside, intranasal foreign bodies in adults tend to require further assessment. The foreign body in this case was concerning for skull base involvement and the patient was brought to the operating room (OR) with neurosurgery for endoscopic sinus surgery (ESS) and removal of foreign body. The screw was removed and the patient recovered with no signs of cerebrospinal fluid (CSF) leak postoperatively. Any concern for skull base or intracranial involvement should call for a full evaluation of the mechanism of injury and intervention in a controlled environment.
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Affiliation(s)
- Mingyang L Gray
- Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Catharine Kappauf
- Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Satish Govindaraj
- Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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7
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Levy DA, Lee AY, Abuzeid WM, Akbar NA. Guns n' Noses: Endoscopic Removal of an Air-Gun Pellet Retained in the Frontal Sinus. EAR, NOSE & THROAT JOURNAL 2019; 99:505-507. [PMID: 31155946 DOI: 10.1177/0145561319850813] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Dylan A Levy
- 472529Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, CT, USA
| | - Andrew Y Lee
- Division of Rhinology/Skull Base Surgery, Department of Otorhinolaryngology, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Waleed M Abuzeid
- Division of Rhinology/Skull Base Surgery, Department of Otorhinolaryngology, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Nadeem A Akbar
- Division of Rhinology/Skull Base Surgery, Department of Otorhinolaryngology, Albert Einstein College of Medicine, Bronx, NY, USA
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8
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de la Fuente Cañibano R, Ruiz Martín F. [Hemifacial algia due to a foreign body in the maxillary sinus]. Aten Primaria 2019; 51:592-593. [PMID: 31153666 PMCID: PMC6945125 DOI: 10.1016/j.aprim.2019.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 01/11/2019] [Indexed: 11/18/2022] Open
Affiliation(s)
- Rebeca de la Fuente Cañibano
- Servicio de Otorrinolaringología y Patología Cérvico-Facial, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
| | - Fernando Ruiz Martín
- Servicio de Otorrinolaringología y Patología Cérvico-Facial, Hospital General Universitario de Ciudad Real, Ciudad Real, España
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9
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Teng TS, Ishak NL, Subha ST, Bakar SA. Traumatic transnasal penetrating injury with cerebral spinal fluid leak. EXCLI JOURNAL 2019; 18:223-228. [PMID: 31217785 PMCID: PMC6558516 DOI: 10.17179/excli2018-1971] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Accepted: 04/01/2019] [Indexed: 11/10/2022]
Abstract
CSF leak in penetrating skull base injury is relatively rare compared to close head injury involving skull base fracture. We report a 5-year-old boy presented with epistaxis and impacted pencil into the left nostril. The child was hemodynamically stable without any neurological deficit. Intraoperatively, there was a nasal septal defect posteriorly with anterior skull base fracture associated with CSF leak. The pencil was removed from the left nostril and the CSF leak was repaired using harvested abdominal fat under the same setting. Computed Tomography (CT) of the brain showed right cribriform plate fracture with small pneumocranium. Postoperatively, a prophylactic antibiotic was given for seven days and he was discharged well. Subsequent clinic visits up to one-year postoperative period showed no recurrence of the CSF leak. History taking, physical examination and CT imaging give valuable diagnostic values in managing the penetrating skull base injury. Early intervention for removal of the foreign body and repair of the CSF leak is advocated to prevent catastrophic complication.
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Affiliation(s)
- Tan Sui Teng
- Department of Otorhinolaryngology, Head and Neck Surgery, Serdang Hospital, Jalan Puchong, Kajang, Selangor Darul Ehsan, 43000 Malaysia
| | - Noor Liza Ishak
- Ear, Nose and Throat Unit, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
| | - Sethu Thakachy Subha
- Ear, Nose and Throat Unit, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
| | - Saraiza Abu Bakar
- Department of Otorhinolaryngology, Head and Neck Surgery, Serdang Hospital, Jalan Puchong, Kajang, Selangor Darul Ehsan, 43000 Malaysia
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10
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Maturo SC, Mair EA. Endoscopic image-guided removal of metallic intravascular foreign body of the skull base. Otolaryngol Head Neck Surg 2016; 136:128-9. [PMID: 17210348 DOI: 10.1016/j.otohns.2006.05.752] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2006] [Accepted: 05/31/2006] [Indexed: 11/18/2022]
Affiliation(s)
- Stephen C Maturo
- Pediatric Otolaryngology Service, Department of Otolaryngology, Wilford Hall USAF Medical Center, San Antonio, TX 78236, USA.
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11
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Yousefi J, Mobasher Jannat A, Ajudani R. Penetrating nose and maxillary sinus injury with a metal part of a military gun. J ROY ARMY MED CORPS 2016; 162:137-8. [PMID: 26767594 DOI: 10.1136/jramc-2015-000604] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Accepted: 12/19/2015] [Indexed: 11/04/2022]
Abstract
Foreign bodies (FBs) in the paranasal sinuses are rare, whether iatrogenic or traumatic. One of the most common causes of such traumatic injuries is gunshot wounds from the bullets. Removing FBs from the paranasal sinuses usually needs endoscopic or open surgery. We present the case of a 22-year-old male soldier who sustained a penetrating injury of his nose and maxillary sinus with an iron rod that was a part of his gun, which was removed without either endoscopic or open paranasal sinus surgery.
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Affiliation(s)
- Jaleh Yousefi
- Department of Otorhinolaryngology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - A Mobasher Jannat
- Students' Research Committee (SRC), Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - R Ajudani
- Students' Research Committee (SRC), Baqiyatallah University of Medical Sciences, Tehran, Iran
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12
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Cho J, Kim JH, Hong SD. Complex Anterior Skullbase Fracture Caused by a Bottle Cap: A Case Report and Review of the Literature. JOURNAL OF RHINOLOGY 2016. [DOI: 10.18787/jr.2016.23.1.49] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Affiliation(s)
- Jungkyu Cho
- Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Joon Ho Kim
- Department of Rhinology, Hana ENT Hospital, Seoul, Korea
| | - Sang Duk Hong
- Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
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13
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An Unusual Deadly Craniofacial Trauma Case Due To Hot Liquid Plastic Infusion. J Craniofac Surg 2015; 26:e666-7. [PMID: 26439198 DOI: 10.1097/scs.0000000000002104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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14
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Foreign Body Removal by Inferior Meatal Antrostomy. J Craniofac Surg 2015; 26:985-7. [DOI: 10.1097/scs.0000000000001533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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15
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Loh JCN, Mansor M, Gendeh BS, Mangat PK. Outpatient endoscopic removal of gutta-percha from the maxillary sinus using a sublabial antroscopy: a rare entity. ACTA ACUST UNITED AC 2012; 31:20-5. [PMID: 23739253 DOI: 10.1016/s0377-5291(12)70005-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Any foreign body in the paranasal sinuses can cause chronic complications. It is therefore important to remove these foreign bodies meticulously. Various approaches are available to accomplish this. This article is a case report of a patient who had gutta-percha as a foreign body in left maxillary sinus, after a gutta-percha point had been used to trace a sinus to confirm that it was an oroantral fistula. Traditional surgical approaches to the maxillary sinus require invasive techniques, such as radical antrostomy and the Caldwell-Luc approach. These may result in further complications and morbidity. The gutta-percha point in this case report was removed endoscopically in an otolaryngology clinic with local anaesthesia using a sublabial antroscopy. There is only one case reported in the dental literature regarding the endoscopically-assisted technique for removal of displaced gutta-percha using the sublabial antroscopy approach (Yura S, Ohga N, Ooi K, Izumiyama Y. Procedure of endoscopic removal of a gutta-percha point in maxillary sinus mucosa by ultrathin arthroscope. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;104:e58-60).
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Abstract
Various kinds of etiological factors play a role in chronic sinusitis, and foreign bodies in the sinuses are one of the etiological factors. A 44-year-old man attended our outpatient clinic with complaints of headache, nasal congestion, and postnasal drainage. He had a history of gunshot accident 1 year ago, and his paranasal computed tomography revealed a bullet-shaped, radiopaque foreign body in the right maxillary sinus floor. With the patient under general anesthesia, the foreign body was removed endoscopically. One year after the surgical removal, the patient became free of nasal symptoms.
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17
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Cho YC, Jang SM, Park SW, Choi BH, Ha JH, Son JH, Sung IY. Removal of foreign body on cheek using endoscope and C-arm fluoroscopy. J Korean Assoc Oral Maxillofac Surg 2011. [DOI: 10.5125/jkaoms.2011.37.3.234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Affiliation(s)
- Yeong-Cheol Cho
- Department of Oral & Maxillofacial Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
| | - Soo-Mi Jang
- Department of Oral & Maxillofacial Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
| | - Soo-Won Park
- Department of Oral & Maxillofacial Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
| | - Byung-Hwan Choi
- Department of Oral & Maxillofacial Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
| | - Jin-Hee Ha
- Department of Conservative Dentistry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
| | - Jang-Ho Son
- Department of Oral & Maxillofacial Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
| | - Iel-Yong Sung
- Department of Oral & Maxillofacial Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
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Kühnel TV, Tudor C, Neukam FW, Nkenke E, Stockmann P. Air gun pellet remaining in the maxillary sinus for 50 years: a relevant risk factor for the patient? Int J Oral Maxillofac Surg 2009; 39:407-11. [PMID: 19962278 DOI: 10.1016/j.ijom.2009.10.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2007] [Revised: 10/17/2009] [Accepted: 10/30/2009] [Indexed: 10/20/2022]
Abstract
The authors report the case of a 62-year-old man referred to the department of oral and maxillofacial surgery because of a clinical suspicion of palate carcinoma. Incidentally, diagnostic radiology showed a metallic foreign body in the left maxillary sinus. Anamnestic data revealed that a shot from an air gun accidentally hit the patient's left cheek in 1957. The lead-containing air gun pellet was removed by endoscopic antrostomy and the diagnosis of squamous cell carcinoma was confirmed by histopathological examination. 50 years after the pellet's impact, toxicological blood analysis showed no increased blood lead level. It remains unclear whether the air gun pellet has a potential toxicological effect or is related to the development of the patient's oral carcinoma. In this context the article reviews the literature and discusses the necessity of removing metal-containing foreign bodies, the role of lead in chronic toxicity and its possible carcinogenic effect in humans.
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Affiliation(s)
- T V Kühnel
- Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glueckstrasse 11, 91054 Erlangen, Germany.
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Scolozzi P, Momjian A, Lombardi T. Removal of unusual, large high-velocity metallic maxillary sinus foreign bodies by a modified free bone flap technique. Eur Arch Otorhinolaryngol 2009; 267:317-20. [DOI: 10.1007/s00405-009-1143-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2009] [Accepted: 10/22/2009] [Indexed: 11/24/2022]
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21
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Bodet Agustí E, Viza Puiggrós I, Romeu Figuerola C, Martinez Vecina V. Foreign bodies in maxillary sinus. ACTA ACUST UNITED AC 2009. [DOI: 10.1016/s2173-5735(09)70127-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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22
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Geninatti MR, Frouge C. Intrathoracic foreign bodies. J Emerg Med 2008; 40:e77-9. [PMID: 19028040 DOI: 10.1016/j.jemermed.2008.02.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2005] [Revised: 03/25/2007] [Accepted: 08/08/2007] [Indexed: 10/21/2022]
Affiliation(s)
- Marilyn R Geninatti
- Department of Emergency Medicine, Paradise Valley Hospital, Phoenix, Arizona 85032, USA
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23
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Transoral endoscopic removal of a bullet from the infratemporal fossa. Otolaryngol Head Neck Surg 2008; 138:113-4. [DOI: 10.1016/j.otohns.2007.09.025] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2007] [Revised: 09/26/2007] [Accepted: 09/27/2007] [Indexed: 11/19/2022]
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Akhaddar A, Abouchadi A, Jidal M, Gazzaz M, Elmostarchid B, Naama O, Rzin A, Boucetta M. Metallic foreign body in the sphenoid sinus after ballistic injury: a case report. J Neuroradiol 2007; 35:125-8. [PMID: 17628677 DOI: 10.1016/j.neurad.2007.06.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Paranasal sinus injuries by foreign bodies have a lower incidence compared with facial injuries. Among them, penetrating maxillofacial injuries to the sphenoid sinus and skull base remain rare. We report the case of a 41-year-old man who presented with, after a missile-related maxillofacial injury, a metallic foreign body enclosed within the sphenoid sinus with carotid-canal fracture. Angiographic evaluation showed a mass in the right internal carotid artery. The foreign object was successfully extracted through a transmaxillary sublabial approach with a good outcome. We discuss the extensive preoperative evaluation and interdisciplinary management of this unusual injury.
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Affiliation(s)
- A Akhaddar
- Department of Neurosurgery, Mohammed-V Military Hospital, Rabat, Morocco.
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Abstract
Metal foreign bodies are occasionally found in the paranasal sinuses. Often they result from the escape of material through an oroantral fistula or from trauma. Rarely, they occur as a complication of a dental procedure. A literature review revealed only four other reports of iatrogenic dental bur lodgment in the maxillary sinus, all of which are in the dental literature. Otolaryngologists, who might be required to deal with this complication, must be knowledgeable about its management. In this article we describe a patient who was referred to our otolaryngology department for management of a retained dental bur in the maxillary sinus. We also review two treatment options—an endoscopic and an open surgical approach—for the removal of sinus foreign bodies.
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Affiliation(s)
| | - Precha Emko
- Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, New York
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Stockmann P, Vairaktaris E, Fenner M, Tudor C, Neukam FW, Nkenke E. Conventional radiographs: are they still the standard in localization of projectiles? ACTA ACUST UNITED AC 2007; 104:e71-5. [PMID: 17703962 DOI: 10.1016/j.tripleo.2007.05.015] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2006] [Revised: 05/10/2007] [Accepted: 05/12/2007] [Indexed: 10/22/2022]
Abstract
The penetration of air gun pellets in facial soft tissue can cause major problems during the removal of foreign bodies, although conventional radiography, computed tomography, image-guided surgical removal, and ultrasound have been applied to facilitate the procedure. It was the aim of the present case report to introduce a modified intraoperative method for the localization of air gun pellets, based on the use of radiopaque markers in conventional radiographs. A 66-year-old patient attempted to commit suicide by using an air gun. The pellet hit the right temporal region. A computed tomographic (CT) scan was acquired to localize the foreign body. The first attempt to remove the pellet through the penetrating wound failed. Because of a dislodgement of the pellet, the CT scan could no longer be used for the localization of the air gun pellet. As the air gun pellet was positioned under the zygomatic arch, ultrasound was unable to identify its position. Successful intraoperative localization of the projectile was performed after fixation of radiopaque markers to the skin in the region of the estimated localization, with conventional radiographs in 2 planes, acquired with a mobile dental x-ray device. Although the markers remained attached to the patient as reference makers, the air gun pellet was removed easily. The use of radiopaque markers in conventional radiographs in 2 planes allows fast, intraoperative localization of radiopaque foreign bodies within soft tissue. The procedure can be carried out with a conventional x-ray device that should be available in every oral and maxillofacial practice. The use of reference markers should be considered a standard procedure for the localization of radiopaque foreign bodies in the head and neck.
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Affiliation(s)
- Philipp Stockmann
- Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
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Thomas S, Daudia A, Jones NS. Endoscopic removal of foreign body from the anterior cranial fossa. The Journal of Laryngology & Otology 2007; 121:794-5. [PMID: 17367560 DOI: 10.1017/s0022215107006998] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/04/2007] [Indexed: 11/07/2022]
Abstract
Intracranial foreign bodies are typically removed via a craniotomy, which carries significant peri-operative risks. Nasal endoscopy for removal of intracranial foreign bodies is rare and has been attempted only a few times. Here, we describe a case in which nasal endoscopy was employed to successfully remove an air rifle pellet from the anterior cranial fossa, with subsequent repair of the associated cerebrospinal fistula. We thus advocate nasal endoscopy as an alternate line of management for the removal of foreign bodies from the anterior cranial fossa when possible, due to its significantly lower associated morbidity, provided adequate neurosurgical backup is available if required.
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Affiliation(s)
- S Thomas
- Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
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Tsao YH, Kao CH, Wang HW, Chin SC, Moe KS. Transorbital penetrating injury of paranasal sinuses and anterior skull base by a plastic chair glide: management options of a foreign body in multiple anatomic compartments. Otolaryngol Head Neck Surg 2006; 134:177-9. [PMID: 16399205 DOI: 10.1016/j.otohns.2005.01.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2004] [Indexed: 10/25/2022]
Affiliation(s)
- Yuan-Heng Tsao
- Department of Otolaryngology-Head and Neck Surgery, Tri-Service General Hospital, No. 325 Section 2 Cheng-Kung Road, Neihu District, Taipei, Taiwan 114, ROC
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Gross M, Regev E, Hamdan K, Eliashar R. Penetrating rubber bullet into the ethmoid sinus: should the bullet be removed? Otolaryngol Head Neck Surg 2006; 133:814-6. [PMID: 16274819 DOI: 10.1016/j.otohns.2005.01.021] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2004] [Accepted: 01/14/2005] [Indexed: 11/17/2022]
Affiliation(s)
- Menachem Gross
- Department of Otolaryngology-Head & Neck Surgery, Hadassah University Hospital, Jerusalem, Israel.
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