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Conservative management of transnasal intracranial injury

Weiliang Bai1, Chunbo Shao, Wenyue Sun

  • 1Department of Otorhinolaryngology, Shengjing Hospital, China Medical University, Shenyang, China. bweiliang@yahoo.com.cn

American Journal of Otolaryngology
|January 12, 2010
PubMed

Insights

This study details a rare transnasal intracranial injury in a child, highlighting conservative management. Minimally invasive treatment and imaging were key to a positive outcome without long-term deficits.

Area of Science:

  • Traumatology
  • Pediatric Neurosurgery
  • Emergency Medicine

Background:

  • Transnasal intracranial injuries are rare, often resulting from penetrating trauma.
  • This case involves a 3-year-old child with a domestic accident leading to a penetrating injury.
  • Conservative management strategies for such injuries require careful consideration.

Observation:

  • A 3-year-old female sustained a transnasal injury from falling on scissors.
  • The injury penetrated the nasal cavity, ethmoid sinus, and skull base.
  • Initial presentation included scant cerebrospinal rhinorrhea but no acute neurological deficits.

Findings:

  • The scissors were successfully removed.
  • Computed tomographic scans and plain films were crucial for diagnosis and management.
  • The patient experienced no long-term developmental deficits.

Implications:

  • This case underscores the importance of prompt diagnosis and imaging in transnasal intracranial injuries.
  • Minimally invasive treatment approaches can be effective for selected cases.
  • Conservative management may be a viable option, preventing extensive surgical intervention.

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