Endoscopic Removal of a Bullet in Rosenmuller Fossa: Case Report

Fractures of the anterior skull base may occur in gunshot victims and can result in traumatic cerebrospinal fluid (CSF) leak. Less commonly, CSF leaks occur days or even weeks after the trauma occurred. Here, we present the case of a 21-year-old man with a delayed-onset, traumatic CSF leak secondary...

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Detalles Bibliográficos
Autores principales: Burks, Joshua D., Glenn, Chad A., Conner, Andrew K., Bonney, Phillip A., Sanclement, Jose A., Sughrue, Michael E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2016
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914714/
https://www.ncbi.nlm.nih.gov/pubmed/27330924
http://dx.doi.org/10.1055/s-0036-1584079
Descripción
Sumario:Fractures of the anterior skull base may occur in gunshot victims and can result in traumatic cerebrospinal fluid (CSF) leak. Less commonly, CSF leaks occur days or even weeks after the trauma occurred. Here, we present the case of a 21-year-old man with a delayed-onset, traumatic CSF leak secondary to a missile injury that left a bullet fragment in the Rosenmuller fossa. The patient was treated successfully with endoscopic, endonasal extraction of the bullet, and repair with a nasal septal flap. Foreign bodies lodged in Rosenmuller fossa can be successfully treated with endoscopic skull base surgery.

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