Document Detail

Novel endoscopic management of penetrating intracranial trauma.
MedLine Citation:
PMID:  21140640     Owner:  NLM     Status:  MEDLINE    
We report a unique case of minimally invasive endoscopic removal of a penetrating orbitocranial foreign body (POCFB), and present a review of the literature. A 12-year-old boy was impaled in the orbit with a gate latch. Neurosurgical consultation ascertained that removal via bifrontal craniotomy would necessitate extensive brain retraction and result in permanent anosmia. Attempting nasal endoscopic removal was deemed prudent, given this morbidity and a lack of brain parenchymal violation. The patient recovered without a cerebrospinal fluid leak or other neurologic sequelae. To date, craniotomy is the only reported management of POCFBs in the literature. We herein report the first nasal endoscopic removal of a POCFB.
Ali Sepehr; Amir M Karam; Brian J F Wong
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  119     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-12-09     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  786-8     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, University of California Irvine School of Medicine, Orange, California, USA.
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MeSH Terms
Endoscopy / methods*
Ethmoid Bone / radiography,  surgery*
Facial Injuries / radiography,  surgery*
Foreign Bodies / radiography,  surgery*
Orbit / injuries*,  radiography
Skull / injuries*
Wounds, Penetrating / radiography,  surgery*

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