Endoscopic Endonasal Removal of A Sphenoidal Sinus Foreign Body Extending into Intracranial Space

Sphenoidal sinus foreign bodies are very rare entities which are often associated with a cranial and/or orbital trauma. In this paper, a case of a metallic foreign body pierced the sphenoid sinus and penetrated into the intracranial space due to a work accident was presented. Twenty-nine year old male was refered to our clinic because of a right orbital penetrating trauma. Skull x-ray and computed tomography (CT) scans demonstrated a foreign body inside the sphenoidal sinus, extending to the left temporal fossa. The foreign body was removed using endoscopic endonasal technique and skull base was reconstructed with multilayer closure technique. There were no complications during or after the operation. Postoperative result was perfect with 3 months of follow up.

Ýntrakranial Uzanýmý Olan Sfenoid Sinüs Ýçi Yabancý Cismin Endoskopik Endonazal Tedavisi

Sfenoid sinüs içi yabancý cisim genellikle kraniyal ve/veya orbital travma ve intrakraniyal lezyonlarla iliþkili olarak görülen çok nadir olaylardýr. Biz bu yazýda iþ kazasý sonrasýnda geliþen, intrakraniyal uzanýmý olan sfenoid sinüs içi metalik yabancý cisim olgusunu sunmaktayýz. Yirmi dokuz yaþýnda erkek hasta sað orbial travma sonrasý kliniðimize gönderilmiþ. Çekilen kafa grafisi ve bilgisayarlý tomografide sol temporal fosaysa invazyon gösteren sfenoid sinüs içinde yabancý cisim saptandý. Hasta endoskopik endozal teknikle opere edilerek yabancý cisim çýkartýldý ve defekt bulunan kafa kaidesi çok tabakalý olarak tamir edildi. Operasyon anýnda ve sonrasýnda komplikasyon görülmeyen hastanýn 3 aylýk takiplerinde de sorun yaþanmadý.