Portmann D, Herman D, Got M
C.H.U. Pellegrin Tripode, Clinique Universitaire ORL, Bordeaux, France.
Rev Laryngol Otol Rhinol (Bord). 1990;111(3):239-43.
The authors present a case of intracerebral expansive pneumatocele following a ethmoido-sphenoidal fracture by a bullet. The case presented is exceptional, as the bullet went through the brain case without injuring the neurological structure. The patient is operated on through the low paralateronasal approach, by filling the ethmoid and the sphenoid with autologous bone material. This surgical treatment makes closure of the fistula and disappearance of the pneumatocele possible, however, not enough time has gone by for making other judgments. This approach, which has a much lower morbidity rate than the approach of the anterior stage through craniectomy, is effective for fractures of the sphenoid and the posterior ethmoid.
作者报告了一例因子弹导致筛窦 - 蝶窦骨折后出现颅内膨胀性气囊肿的病例。该病例较为特殊，因为子弹穿过颅腔却未损伤神经结构。患者通过低位鼻旁入路进行手术，用自体骨材料填充筛窦和蝶窦。这种手术治疗使得瘘口闭合和气囊肿消失成为可能，然而，目前还没有足够的时间来做出其他判断。这种入路的发病率比前期开颅手术入路低得多，对蝶窦和后筛窦骨折有效。
