Nikolaidou Eirini, Karagergou Eleni, Gougousis Spyridon, Papadopoulou Sophia, Tilaveridis Ioannis
Department of Plastic, Reconstructive and Hand Surgery & Burns ICU, General Hospital of Thessaloniki "G. Papanikolaou", Thessaloniki, GRC.
Department of Otorhinolaryngology - Head and Neck Surgery, General Hospital of Thessaloniki "G. Papanikolaou", Thessaloniki, GRC.
Cureus. 2022 May 26;14(5):e25359. doi: 10.7759/cureus.25359. eCollection 2022 May.
Facial penetrating injuries can cause retention of foreign bodies in the frontal sinus. This rare condition can remain underdiagnosed for years, since non-specific symptoms, such as headaches and nasal obstruction, can be developed. So far, removal by an endoscopic approach is the most preferred treatment option because it is less invasive with a short recovery time. However, removal by an open surgical approach remains the method of choice for large foreign bodies, especially in cases of coexistent non-reducible fractures of the anterior table of the frontal bone. We present a case where a combined approach - open and endoscopic - was necessary to successfully remove a retained foreign body from a frontal sinus. With the assistance of a transnasal endoscope, the retained stone was mobilized and removed from the open frontal sinus followed by osteosynthesis of the anterior table. Therefore, in special circumstances, a combination of both techniques should be considered for the optimal outcome.
面部穿透伤可导致异物滞留在额窦内。这种罕见情况可能多年未被诊断出来，因为可能会出现头痛和鼻塞等非特异性症状。到目前为止，内镜下取出是最优选的治疗方法，因为它侵入性较小，恢复时间短。然而，对于较大的异物，尤其是在前额骨前壁存在不可复位骨折的情况下，开放手术取出仍是首选方法。我们报告了一例需要采用开放和内镜联合方法才能成功从额窦取出滞留异物的病例。在经鼻内镜的辅助下，将滞留的结石松动并从开放的额窦中取出，随后对前壁进行骨合成。因此，在特殊情况下，应考虑将两种技术结合使用以获得最佳效果。
