The interest of this article is to show that a quick and adequate medico-surgical management leads to good results in a sinusal pathology, which is sometimes clinically and radiologically impressive, and its particularity resided in the quick installation of exophthalmia, revealing the diagnosis , the excellent postoperative results and the particular location of this mucocele.
Computed Tomography of the patient's temporal bones was requested. This imagery allows us to discover an anatomical anomaly, in the form of an important anectatic right Jugular Bulb, located at the postero-inferior part of the middle-ear cavity (Figure 1 & 2). In addition to that a lateral sinus prolapse was observed (Figure 3).
The adequate care of cervical ballistic traumatisms implies a good preliminary knowledge of wounding agents, and of the principles governing lesion-based ballistic, in particular the role played by the meeting with an obstacle which modifies the ballistic behavior of the projectile, with worsened wounding effects. Authors describe the principal types of involved projectiles and their wound profile applied, while stressing the need to treat systematically the wound and not the weapon, and on the importance of the choice of the surgical exploration way of these lesions, which conditions, as from the initial stage, the later choices of the closure and rebuilding methods.
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