Complex Anterior Skullbase Fracture Caused by a Bottle Cap: A Case Report and Review of the Literature
Journal of Rhinology
;
: 49-54, 2016.
Article
in English
| WPRIM
| ID: wpr-113512
ABSTRACT
We report a case of foreign body presence in the ethmoid sinus cavity with anterior skull base fracture and visual loss. A 42-year-old male had an uncertain history of trauma and a penetrating wound near the left medial canthus. Computed tomography imaging showed a 3.0-cm bottle cap penetrating into the anterior skull base. He underwent foreign body removal, canalicular repair, ethmoidectomy, and cerebrospinal fluid leakage repair using packing material. Six months after the initial surgery, a second-stage operation for blow-out fracture repair was performed. At the 18-month postoperative follow-up from the initial surgery, the patient had no complaints except anosmia. This is a very rare case of a large, blunt, foreign body penetrating into the anterior skull base without long-term complications after successful removal and skull base repair. Simultaneous repair of cerebrospinal fluid leakage, management of canaliculi injury, and traumatic optic nerve neuropathy should be considered in such cases.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Optic Nerve
/
Orbital Fractures
/
Wounds, Penetrating
/
Follow-Up Studies
/
Skull Base
/
Ethmoid Sinus
/
Cerebrospinal Fluid Leak
/
Foreign Bodies
/
Lacrimal Apparatus
/
Olfaction Disorders
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Journal of Rhinology
Year:
2016
Type:
Article
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