2016
DOI: 10.18787/jr.2016.23.1.49
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Complex Anterior Skullbase Fracture Caused by a Bottle Cap: A Case Report and Review of the Literature

Abstract: We report a case of foreign body presence in the ethmoid sinus cavity with anterior skull base fracture and visual loss. A 42-year-old male had an uncertain history of trauma and a penetrating wound near the left medial canthus. Computed tomography imaging showed a 3.0-cm bottle cap penetrating into the anterior skull base. He underwent foreign body removal, canalicular repair, ethmoidectomy, and cerebrospinal fluid leakage repair using packing material. Six months after the initial surgery, a second-stage ope… Show more

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Cited by 2 publications
(2 citation statements)
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“…The foreign body in the nasal cavity will obstruct the drainage and ventilation of the paranasal sinuses eventually causing sinusitis. Penetration of the foreign body into the skull base with CSF leak predisposes the patient with intracranial infection by direct bacterial inoculation or ascending infection via the defects on the skull base (Cho et al, 2016[ 3 ]). Early removal of foreign body and repair will reduce the risk of meningitis and cerebral abscess (Hettige et al, 2010[ 4 ]).…”
Section: Discussionmentioning
confidence: 99%
“…The foreign body in the nasal cavity will obstruct the drainage and ventilation of the paranasal sinuses eventually causing sinusitis. Penetration of the foreign body into the skull base with CSF leak predisposes the patient with intracranial infection by direct bacterial inoculation or ascending infection via the defects on the skull base (Cho et al, 2016[ 3 ]). Early removal of foreign body and repair will reduce the risk of meningitis and cerebral abscess (Hettige et al, 2010[ 4 ]).…”
Section: Discussionmentioning
confidence: 99%
“…Appropriate antibiotics can be selected aiming to manage the Staphylococcus aureus and Gram-negative organisms as these are the most common organisms, later can be changed to the antibiotics based on culture and sensitivity patterns [16,30,47,50,51]. It is of utmost importance to anticipate the potential risk of CSF leak and take adequate measures to repair the defects in bone and remove the foreign bodies [1,6,[52][53][54]. The complications can be potentially prevented by appropriate and timely management interventions including careful and thorough irrigation of the wound to remove contaminated bone and tissue fragments and any foreign bodies [30,35].…”
Section: Complicationsmentioning
confidence: 99%