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A Penetrating Foreign Body with Sphenoid Sinus extension- A Case Report
Vidhya Chemmanchery1, Shilpa Saji Palal1, Anil Kumar Ramabhadraiah1
1Department of Otorhinolaryngology, Bangalore Medical College and Research Institute, Bengaluru, Karnataka India.
Summary
A rare case of a wooden foreign body in the sphenoid sinus was successfully removed from a child after a penetrating eye injury. Prompt surgical intervention is crucial for managing such sinus foreign bodies.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Neurosurgery
Background:
- Foreign bodies in the paranasal sinuses are uncommon, often resulting from high-velocity trauma.
- Penetrating injuries, particularly those involving wooden objects, pose diagnostic and management challenges due to their proximity to vital structures.
Purpose of the Study:
- To report a case of a pediatric patient with a wooden foreign body extending into the sphenoid sinus.
- To highlight the importance of prompt and complete surgical removal of sinus foreign bodies.
Main Methods:
- A 12-year-old child with a penetrating eye injury from a tree branch underwent CT scan.
- The wooden foreign body was identified extending into the sphenoid sinus.
- Surgical removal was performed in an emergency operating room under antibiotic coverage.
Main Results:
- The wooden foreign body was successfully mobilized and removed with traction.
- Primary wound closure was achieved.
- The patient experienced a stable postoperative recovery.
Conclusions:
- Foreign bodies near the sphenoid sinus require prompt and complete removal due to the risk of complications.
- Management necessitates a multidisciplinary team with expertise in head and neck anatomy.
- Tertiary care center management is recommended for optimal outcomes.
