Brinson George M, Senior Brent A, Yarbrough Wendell G
Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of medicine, Chapel Hill, 27599-7070, USA.
Otolaryngol Head Neck Surg. 2004 Jan;130(1):25-30. doi: 10.1016/j.otohns.2003.07.010.
OBJECTIVES/HYPOTHESIS: This article presents 3 cases to illustrate the appropriate management of airgun injuries with retained projectiles in the paranasal sinuses. The indications, techniques, and potential complications of removal of these foreign bodies from the paranasal sinuses are discussed.
We conducted a case series consisting of 3 patients and a review of the literature.
Three consecutive patients who sustained airgun injuries to the face with retained bullets in the paranasal sinuses are presented. Projectiles were present in the maxillary, ethmoid, and sphenoid sinuses. The literature pertaining to this subject is reviewed.
All retained projectiles were removed endoscopically without complications. Stereotactic guidance was used in 2 cases.
Airgun injuries to the paranasal sinuses are relatively uncommon. Projectiles can safely be removed using endoscopic techniques in selected cases. When possible, foreign bodies in the paranasal sinuses should be removed to prevent long-term sequelae.
目的/假设：本文介绍3例病例，以说明对鼻窦内留有射弹的气枪伤的恰当处理。讨论了从鼻窦取出这些异物的适应证、技术及潜在并发症。
我们进行了一项包含3例患者的病例系列研究并对文献进行了综述。
介绍了3例面部遭受气枪伤且鼻窦内留有子弹的连续病例。射弹分别位于上颌窦、筛窦和蝶窦。对该主题的相关文献进行了综述。
所有留存的射弹均通过内镜取出，无并发症发生。2例使用了立体定向引导。
鼻窦气枪伤相对少见。在特定病例中，使用内镜技术可安全取出射弹。只要有可能，应取出鼻窦内的异物以预防长期后遗症。
