Akhaddar A, Abouchadi A, Jidal M, Gazzaz M, Elmostarchid B, Naama O, Rzin A, Boucetta M
Department of Neurosurgery, Mohammed-V Military Hospital, Rabat, Morocco.
J Neuroradiol. 2008 May;35(2):125-8. doi: 10.1016/j.neurad.2007.06.005. Epub 2007 Nov 28.
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.
与面部损伤相比，鼻窦异物损伤的发生率较低。其中，穿透性颌面损伤累及蝶窦和颅底的情况仍然罕见。我们报告一例41岁男性病例，该患者在遭受与导弹相关的颌面损伤后，蝶窦内有一枚金属异物并伴有颈动脉管骨折。血管造影评估显示右侧颈内动脉有一肿块。通过经上颌唇下入路成功取出异物，效果良好。我们讨论了对这种特殊损伤的全面术前评估和多学科管理。
