Complex Anterior Skullbase Fracture Caused by a Bottle Cap: A Case Report and Review of the Literature
Journal of Rhinology
;
: 49-54, 2016.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Nervio Óptico
/
Fracturas Orbitales
/
Heridas Penetrantes
/
Estudios de Seguimiento
/
Base del Cráneo
/
Senos Etmoidales
/
Pérdida de Líquido Cefalorraquídeo
/
Cuerpos Extraños
/
Aparato Lagrimal
/
Trastornos del Olfato
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Journal of Rhinology
Año:
2016
Tipo del documento:
Artículo
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