Department of Otorhinolaryngology, Shengjing Hospital, China Medical University, Shenyang, China.
Am J Otolaryngol. 2011 Mar-Apr;32(2):165-7. doi: 10.1016/j.amjoto.2009.11.005. Epub 2010 Jan 8.
The purpose of this study was to explore the conservative management for an unusual case of transnasal intracranial injury. A 3-year-old female child presenting with transnasal injuries after a domestic accident whereby she apparently fell while holding a large pair of scissors, which then penetrated her left nasal cavity, piercing her nasal cavity, ethmoid sinus, and skull base. The scissors were removed from her nasal cavity. The patient had scant cerebrospinal rhinorrhea and no other additional neurologic deficits noted at the time, as well as no long-term developmental deficits. This report highlights the occurrence of this rare condition. The role of radiologic studies such as computed tomographic scans and plain films in diagnosis and management of this case is affirmed. The strategy of minimally invasive treatment of this injury can be a reasonable treatment option.
本研究旨在探讨一种不寻常的经鼻颅内损伤的保守治疗方法。一名 3 岁女性患儿因家庭事故导致经鼻损伤，当时她明显是在拿着一把大剪刀时摔倒，剪刀随后穿透了她的左鼻腔，刺穿了鼻腔、筛窦和颅底。剪刀已从她的鼻腔中取出。患者仅有少量脑脊液鼻漏，当时没有发现其他额外的神经功能缺损，也没有长期发育缺陷。本报告强调了这种罕见情况的发生。影像学研究（如计算机断层扫描和普通 X 线片）在该病例的诊断和治疗中的作用得到了肯定。这种损伤的微创治疗策略可以是一种合理的治疗选择。
