Yıldırım Ali Erdem, Divanlıoğlu Denizhan, Çetinalp Nuri Eralp, Ekici Ibrahim, Dalgıç Ali, Belen Ahmed Deniz
Department of Neurosurgery, Ankara Numune Training and Research Hospital, Ankara, Turkey.
Ulus Travma Acil Cerrahi Derg. 2014 Mar;20(2):139-42. doi: 10.5505/tjtes.2014.93902.
Sphenoidal sinus foreign bodies are very rare entities that are often associated with a cranial and/or orbital trauma. In this paper, a case of a metallic foreign body that pierced the sphenoid sinus and penetrated into the intracranial space due to a work accident is presented. A 29-year-old male was referred to our clinic due to a right orbital penetrating trauma. Skull X-ray and computed tomography (CT) scans demonstrated a foreign body inside the sphenoidal sinus, extending to the left temporal fossa. The foreign body was removed using an endoscopic endonasal technique, and the skull base was reconstructed with a multilayer closure technique. There were no complications during or after the operation. Postoperative result was perfect after three months of follow up.
蝶窦异物是非常罕见的情况，常与颅脑和/或眼眶外伤相关。本文介绍了一例因工伤导致金属异物刺入蝶窦并穿透至颅内空间的病例。一名29岁男性因右眼眶穿透伤被转诊至我们的诊所。头颅X线和计算机断层扫描（CT）显示蝶窦内有一异物，延伸至左侧颞窝。采用鼻内镜技术取出异物，并用多层闭合技术重建颅底。手术期间及术后均无并发症。随访三个月后，术后效果良好。
