Hostname: page-component-8448b6f56d-c47g7 Total loading time: 0 Render date: 2024-04-20T10:49:27.794Z Has data issue: false hasContentIssue false

Transorbital penetrating injury of the paranasal sinuses

Published online by Cambridge University Press:  29 June 2007

Ming-Ru Wu*
Affiliation:
Departments of Otolaryngology, Taipei Municipal Jen-Ai Hospital, Taipei
Chang-Te Shih
Affiliation:
China Medical College Hospital, Taichung, Taiwan.
Chi-Wei Yeh
Affiliation:
Departments of Otolaryngology, Taipei Municipal Jen-Ai Hospital, Taipei
*
Address for correspondence: Ming-Ru Wu, 46-1 14F Chung-Cheng Road, Sec 2, Taipei, Taiwan. Fax: 886-2-28350954

Abstract

Penetrating injuries of the paranasal sinuses due to foreign bodies are rare, especially as a result of a traffic accident. Here we report a patient with a ballpoint pen lodged in his left eye following a traffic accident. The pen extended from the medial aspect of the left orbit, through the left ethmoid sinus and the nasal septum, to the right sphenoid sinus. We removed the pen uneventfully using endoscopic sinus surgery. There are no similar reports in the English literature and we therefore present this case because of its rarity.

Type
Radiology in Focus
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Dimitriou, G., Karavelis, A., Triaridis, K., Antoniadis, C. (1992) Foreign body in the sphenoid sinus. Journal of Cranio-Maxillo-Facial Surgery 20: 228229.CrossRefGoogle ScholarPubMed
Donald, P. J., Gadre, A. K. (1995) Neuralgia-like symptoms in a patient with an airgun pellet in the ethmoid sinus: a case report. Journal of Laryngology and Otology 109: 646649.CrossRefGoogle Scholar
Doron, Y., Gruszkiewicz, J., Peyser, E. (1982) Penetrating cranio-cerebral injuries due to unusual foreign bodies. Neurosurgical Review 5: 3540.CrossRefGoogle ScholarPubMed
Fallon, M. J., Plante, D. M., Brown, L. W. (1992) Wooden transnasal intracranial penetration: an unusual presentation. Journal of Emergency Medicine 10: 439443.CrossRefGoogle ScholarPubMed
Ferris, K. P. (1964) Foreign body in the sphenoid sinus. Journal of Laryngology and Otology 78: 697701.CrossRefGoogle ScholarPubMed
Greene, K. A., Dickman, C. A., Smith, K. A., Kinder, E. J., Zabramski, J. M. (1993) Self-inflicted orbital and intracranial injury with a retained foreign body, associated with psychotic depression: case report and review. Surgical Neurology 40: 499503.CrossRefGoogle ScholarPubMed
Grevers, G., Reiterer, A. (1990) Traumatisch bedingte Fremdkorper der Nasennebenhohlen. Laryngo-Rhino-Otologie 69: 155157.CrossRefGoogle Scholar
Onerci, M., Ogretmenoglu, O., Yilmaz, T. (1997) Glass in the frontal sinus: report of three cases. Journal of Laryngology and Otology 111(2): 156158.CrossRefGoogle ScholarPubMed
Udwadia, R. A., Maniar, D., Acharya, M. (1994) A transethmoid transorbital foreign body. Journal of Laryngology and Otology 108: 441442.CrossRefGoogle ScholarPubMed