Chemmanchery Vidhya, Palal Shilpa Saji, Ramabhadraiah Anil Kumar
Department of Otorhinolaryngology, Bangalore Medical College and Research Institute, Bengaluru, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2503-2506. doi: 10.1007/s12070-023-03819-w. Epub 2023 Apr 25.
: Foreign bodies in the paranasal sinuses are rare and can result from high velocity trauma. Here, we report a case of a 12 year old child, who sustained a penetrating injury to the left eye with a tree branch while playing. On CT scan, the wooden foreign body was found to extend into sphenoid sinus. Patient was posted for removal of foreign body in emergency OT under antibiotic coverage. The foreign body was mobilised from surrounding structures and was removed by giving strong traction. Primary closure of the wound was done and patient recovered with a stable post-op course. : Prompt and complete removal of wooden foreign body in the paranasal sinus is important due to their close proximity to vital structures. Their location and nature can be difficult to diagnose as they can have diverse appearances on imaging. : Foreign bodies in close proximity to the sphenoid sinus should be removed by a multi-specialist team with good knowledge of head and neck anatomy in a tertiary care centre to avoid complications.
鼻窦异物较为罕见，可由高速创伤导致。在此，我们报告一例12岁儿童病例，该患儿在玩耍时被树枝穿透左眼。CT扫描发现木质异物延伸至蝶窦。患者在抗生素覆盖下于急诊手术室接受异物取出术。异物从周围结构中分离出来，并通过强力牵引取出。伤口进行了一期缝合，患者术后恢复过程平稳。由于鼻窦异物紧邻重要结构，及时、彻底地取出木质异物很重要。它们的位置和性质可能难以诊断，因为在影像学上它们可能有多种表现。紧邻蝶窦的异物应由在三级医疗中心熟悉头颈部解剖结构的多专科团队取出，以避免并发症。
