Dodson Kelley M, Bridges Matthew A, Reiter Evan R
Department of Otolaryngology--Head and Neck Surgery, Virginia Commonwealth University Medical Center, Richmond, VA 23298, USA.
Arch Otolaryngol Head Neck Surg. 2004 Aug;130(8):985-8. doi: 10.1001/archotol.130.8.985.
Foreign bodies may be introduced into the paranasal sinuses or cranium through a variety of traumatic or iatrogenic events. A variety of open and, more recently, endoscopic approaches have been used for the removal of sinonasal foreign bodies. Intracranial foreign bodies, however, typically require retrieval via a craniotomy approach, which continues to carry significant perioperative risks. We describe the first reported case of an intracranial foreign body removed using the transnasal endoscopic approach with intraoperative image guidance. We discuss the preoperative evaluation required for this approach to be applied safely and successfully in properly selected cases.
异物可能通过各种创伤性或医源性事件进入鼻窦或颅骨。多种开放手术方法，以及最近出现的内镜手术方法，已被用于去除鼻窦异物。然而，颅内异物通常需要通过开颅手术取出，这仍然伴随着重大的围手术期风险。我们报告了首例使用经鼻内镜手术并在术中影像引导下取出颅内异物的病例。我们讨论了在适当选择的病例中安全、成功应用该手术方法所需的术前评估。
