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[Foreign body in paranasal sinuses].

H R Krause1, J Rustemeyer, R R Grunert

  • 1Klinik für Mund-, Kiefer- und Gesichtschirurgie, Zentralkrankenhaus Sankt-Jürgen-Strasse, 28205 Bremen. heicokrause@allesklar.de

Mund-, Kiefer- Und Gesichtschirurgie : MKG
|April 27, 2002
PubMed
Summary

Foreign bodies in paranasal sinuses often result from medical procedures. Prompt diagnosis and intervention are crucial to prevent complications like infections and nerve damage.

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Area of Science:

  • Otolaryngology
  • Medical Imaging
  • Microbiology

Context:

  • Foreign bodies in the paranasal sinuses present diagnostic and therapeutic challenges.
  • Understanding the etiology and complications is vital for patient management.

Purpose:

  • To investigate the causes, diagnostic and therapeutic aspects, microbial spectrum, and sequels of foreign bodies in the paranasal sinuses.
  • To analyze 68 cases over a 5-year period.

Summary:

  • Medical or dental procedures accounted for over 60% of foreign bodies in paranasal sinuses, followed by industrial accidents (25%).
  • The maxillary sinus was most frequently affected (75%), followed by the frontal sinus (18%).
  • Mixed infections were common, with a notable prevalence of actinomyces and aspergillus. Acute complications included bleeding and optic nerve compression, while late complications involved pain and infections.

Impact:

  • Highlights the importance of smear collection for foreign bodies present longer than 4 days.
  • Emphasizes the need for adequate visualization during removal, especially for posterior wall impactions, to mitigate bleeding risks.

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