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Endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: A case report

INTRODUCTION AND IMPORTANCE: Foreign bodies in paranasal sinuses are rarely encountered and most commonly present in the maxillary sinus. Guidelines for managing paranasal sinus object removal are limited due to its rarity. However, there are three major management options: open surgery, endoscopic...

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Autores principales: Shah, Hassan Yousaf, Elshaer, Rawan Emad, Arabi, Tarek Ziad, Sabbah, Belal Nedal, Alokby, Ghassan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234596/
https://www.ncbi.nlm.nih.gov/pubmed/35751964
http://dx.doi.org/10.1016/j.ijscr.2022.107280
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author Shah, Hassan Yousaf
Elshaer, Rawan Emad
Arabi, Tarek Ziad
Sabbah, Belal Nedal
Alokby, Ghassan
author_facet Shah, Hassan Yousaf
Elshaer, Rawan Emad
Arabi, Tarek Ziad
Sabbah, Belal Nedal
Alokby, Ghassan
author_sort Shah, Hassan Yousaf
collection PubMed
description INTRODUCTION AND IMPORTANCE: Foreign bodies in paranasal sinuses are rarely encountered and most commonly present in the maxillary sinus. Guidelines for managing paranasal sinus object removal are limited due to its rarity. However, there are three major management options: open surgery, endoscopic sinus surgery, and observation. CASE PRESENTATION: We report a rare case of an 18-year-old boy who underwent extended frontal sinus surgery to retrieve a retained air gun pellet in the right frontal sinus and repair the skull base defect resulting from the air gun pellet. CLINICAL DISCUSSION: Physicians commonly use endoscopic sinus surgery (ESS) for improving sinus drainage in recurrent chronic and acute infective sinusitis. Extended sinus surgery aims to maximize the communication between the paranasal sinuses and the nasal cavity. This extended communication helps improve access to the sinus, enhance drainage, and improve the delivery of topical medications. In addition, the use of ESS with the modified Lothrop procedure allows for better exposure of the skull base, which can help with the repair of a CSF leak. CONCLUSION: Based on our experience with this patient and similar literature, ESS should be considered a treatment option for patients with retained foreign objects in the frontal sinus.
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spelling pubmed-92345962022-06-28 Endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: A case report Shah, Hassan Yousaf Elshaer, Rawan Emad Arabi, Tarek Ziad Sabbah, Belal Nedal Alokby, Ghassan Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Foreign bodies in paranasal sinuses are rarely encountered and most commonly present in the maxillary sinus. Guidelines for managing paranasal sinus object removal are limited due to its rarity. However, there are three major management options: open surgery, endoscopic sinus surgery, and observation. CASE PRESENTATION: We report a rare case of an 18-year-old boy who underwent extended frontal sinus surgery to retrieve a retained air gun pellet in the right frontal sinus and repair the skull base defect resulting from the air gun pellet. CLINICAL DISCUSSION: Physicians commonly use endoscopic sinus surgery (ESS) for improving sinus drainage in recurrent chronic and acute infective sinusitis. Extended sinus surgery aims to maximize the communication between the paranasal sinuses and the nasal cavity. This extended communication helps improve access to the sinus, enhance drainage, and improve the delivery of topical medications. In addition, the use of ESS with the modified Lothrop procedure allows for better exposure of the skull base, which can help with the repair of a CSF leak. CONCLUSION: Based on our experience with this patient and similar literature, ESS should be considered a treatment option for patients with retained foreign objects in the frontal sinus. Elsevier 2022-06-06 /pmc/articles/PMC9234596/ /pubmed/35751964 http://dx.doi.org/10.1016/j.ijscr.2022.107280 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Shah, Hassan Yousaf
Elshaer, Rawan Emad
Arabi, Tarek Ziad
Sabbah, Belal Nedal
Alokby, Ghassan
Endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: A case report
title Endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: A case report
title_full Endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: A case report
title_fullStr Endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: A case report
title_full_unstemmed Endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: A case report
title_short Endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: A case report
title_sort endoscopic endonasal retrieval of air gun pellet retained in the frontal sinus: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234596/
https://www.ncbi.nlm.nih.gov/pubmed/35751964
http://dx.doi.org/10.1016/j.ijscr.2022.107280
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