Department of Otolaryngology, Aljaber Hospital for Eyes, Nose, Ears and Throat, Alahsa, Saudi Arabia.
Department of Otolaryngology, National Guard, King Abdulaziz Hospital, Alahsa, Saudi Arabia.
Am J Case Rep. 2021 Feb 17;22:e928534. doi: 10.12659/AJCR.928534.
BACKGROUND Paranasal sinus foreign bodies are rarely encountered in otolaryngology practice. CASE REPORT We present the case of a 32-year-old man who presented to our Emergency Department with his left eye bleeding after a nail gun injury. The initial physical examination revealed the presence of a left eye ruptured globe, which led to left eye blindness. An urgent plain X-ray scan was done, in which the presence of a metallic object impacted in the left maxillary sinus was demonstrated. The patient was managed surgically by an external approach using the Caldwell-Luc procedure, with no intra- or postoperative complications. CONCLUSIONS Paranasal sinus foreign bodies, if improperly treated, can cause serious morbidity. Surgical removal, either endoscopically or through an external approach, is required.
鼻窦异物在耳鼻喉科实践中很少见。
我们报告了一例 32 岁男性患者，因钉枪伤就诊于我院急诊科，左眼出血。初步体检发现左眼眼球破裂，导致左眼失明。紧急进行了普通 X 光扫描，显示有一个金属物体嵌顿在左侧上颌窦。患者采用经颅面联合进路（Caldwell-Luc 手术）进行了外科手术治疗，无术中或术后并发症。
鼻窦异物如果处理不当，可导致严重的发病率。需要通过内镜或外部途径进行手术切除。
