�ntrakranial Uzan�m� Olan Sfenoid Sin�s ��i Yabanc� Cismin Endoskopik Endonazal Tedavisi

Y�ld�r�m, Ali Erdem; Divanlioglu, Denizhan; Cetinalp, Nuri Eralp; Ekici, �brahim; Dalgic, Ali; Belen, Ahmed Deniz

Cilt : 20 Say� : 2 Y�l : 2024

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�ntrakranial Uzan�m� Olan Sfenoid Sin�s ��i Yabanc� Cismin Endoskopik Endonazal Tedavisi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2014; 20(2): 139-142 | DOI: 10.5505/tjtes.2014.93902

�ntrakranial Uzan�m� Olan Sfenoid Sin�s ��i Yabanc� Cismin Endoskopik Endonazal Tedavisi

Ali Erdem Y�ld�r�m, Denizhan Divanlioglu, Nuri Eralp Cetinalp, �brahim Ekici, Ali Dalgic, Ahmed Deniz Belen
Ankara Numune E�itim Ve Ara�t�rma Hastanesi, N�ro�ir�rji Klini�i, Ankara

Sfenoid sin�s i�i yabanc� cisim genellikle kraniyal ve/veya orbital travma ve intrakraniyal lezyonlarla ili�kili olarak g�r�len �ok nadir olaylard�r. Biz bu yaz�da i� kazas� sonras�nda geli�en, intrakraniyal uzan�m� olan sfenoid sin�s i�i metalik yabanc� cisim olgusunu sunmaktay�z. Yirmi dokuz ya��nda erkek hasta sa� orbial travma sonras� klini�imize g�nderilmi�. �ekilen kafa grafisi ve bilgisayarl� tomografide sol temporal fosaysa invazyon g�steren sfenoid sin�s i�inde yabanc� cisim saptand�. Hasta endoskopik endozal teknikle opere edilerek yabanc� cisim ��kart�ld� ve defekt bulunan kafa kaidesi �ok tabakal� olarak tamir edildi. Operasyon an�nda ve sonras�nda komplikasyon g�r�lmeyen hastan�n 3 ayl�k takiplerinde de sorun ya�anmad�.

Anahtar Kelimeler: Endoskopik endonazal, yabanc� cisim, sfenoid sin�s, intrakraniyal

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

Ali Erdem Y�ld�r�m, Denizhan Divanlioglu, Nuri Eralp Cetinalp, �brahim Ekici, Ali Dalgic, Ahmed Deniz Belen
Ankara Numune Education And Research Hospital, Department Of Neurosurgery, Ankara

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.

Keywords: Endoscopic endonasal, foreign body, sphenoid sinus, intracranial

Sorumlu Yazar: Ali Erdem Y�ld�r�m, T�rkiye
Makale Dili: �ngilizce

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