Unusual foreign body in the nasal cavity after craniofacial injury

Česká verzia

Authors: V. Novák ¹; L. Hrabálek ¹; J. Hoza ²; P. Stejskal ¹
Authors place of work: Neurochirurgická klinika Fakultní nemocnice Olomouc a Lékařské fakulty Univerzity Palackého v Olomouci ¹; Klinika otorinolaryngologie a chirurgie hlavy a krku Fakultní nemocnice Olomouc a Lékařské fakulty Univerzity Palackého v Olomouci ²
Published in the journal: Rozhl. Chir., 2023, roč. 102, č. 4, s. 165-168.
Category: Kazuistika
doi: https://doi.org/10.33699/PIS.2023.102.4.165–168

Summary

A 68-year-old man with severe craniofacial trauma underwent endoscopic surgery for nasal cerebrospinal fluid leak. During the operation, a plastic object in the shape of a spectacle lens was found wedged in the left nasal passage, which we extracted. As subsequently established from the patient’s documentation, it was a dislodged acrylic implant originally placed at the base of the orbit which was surgically treated after an injury to the facial skeleton thirty-five years ago. What is also rare about this is the fact that the patient had been examined for many years at the otorhinology department for purulent discharge from the left nasal cavity and impaired ventilation. The patient had also undergone an endoscopic examination of the nasal cavity during which an intranasal tumor was even suspected, but it was not histologically confirmed.

Keywords:

endoscopy – intranasal foreing object – craniofascial injury

Zdroje

1. Gray ML, Kappauf C, Govindaraj S. Management of an unusual intranasal foreign body abutting the cribriform plate: a case report and review of literature. Clin Med Insights Ear Nose Throat. 2019;12:1−5. doi:10.1177/1179550619858606.

2. Teng TS, Ishak NL, Subha ST, et al. Traumatic transnasal penetrating injury with cerebral spinal fluid leak. Excli J. 2019;18:223−228. doi:10.17179/excli2018-1971.

3. Rudagi BM, Halli R, Kini Y, et al. Foreign bodies in facial trauma-report of 3 cases. J Maxillofac Oral Surg. 2013;12(2):210−213. doi:10.1007/s12663-010-0072-1.

4. Krimmel M, Cornelius CP, Stojadinovic S, et al. Wooden foreign bodies in facial injury: a radiological pitfall. Int J Oral Maxillofac Surg. 2001;30(5):445−447. doi:10.1054/ijom.2001.0109.

5. Kalan A, Tariq M. Foreign bodies in the nasal cavities: a comprehensive review of the aetiology, diagnostic pointers, and therapeutic measures. Postgrad Med J. 2000;76(898):484−487. doi:10.1136/ pmj.76.898.484.

6. Guthrie D. Foreign bodies in the nose. J Laryngol Otol. 1956;41:454–457.

7. Malhotra C, Arora MM, Mehra YN. An unusual foreign body in the nose. J Laryngol Otol. 1930;45:73.

8. T’Ang CY. A large foreign body in the nasopharynx of an infant. J Laryngol Otol. 1954;68:321–323.

9. Irvine GS. A case of foreign body in the nasopharynx. J Laryngol Otol. 1960;74:188–191.

10. Zilinskiene L, Idle MR, Colley S. Emergency radiology: Maxillofacial and skull-base trauma. Trauma 2014;16:243−255.

11. Tsao YH, Kao CH, Wang HW, et al. Transorbital penetrating injury of paranasal sinuses and anterior skull base by a plastic chair glide: Management options of a foreign body in multiple anatomic compartments. Otolaryngol Head Neck Surgery 2006;134:177−179.

12. Wada I, Mishima H, Hida T, et al. Nasal foreign bodies in 299 cases. Nippon Jibiinkoka Gakkai Kaiho 2000;103(11):1212−1217.

13. Figueiredo RR, Azevedo AA, Kos AO, et al. Nasal foreign bodies: description of types and complications in 420 cases. Braz J Otorhinolaryngol. 2006;72(1):18−23.

14. Massaro-Giordano M, Kirschner RA, Wulc AE. Orbital floor implant migration across the ethmoidal sinuses and nasal septum. Am J Ophthalmol. 1998;126(6):848−850.