Fremdkörper in den Nasennebenhöhlen

Krause, H. R.; Rustemeyer, Jan; Grunert, Ronny

doi:10.1007/s10006-001-0344-5

Cited by 19 publications

(6 citation statements)

References 14 publications

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“…Patients coming in the emergency with blast injuries and penetrating trauma should undergo radiological investigation before operation. Waters and lateral skull views are useful imaging tools in diagnosing FB and CT scan can be usefully used to evaluate the presence and exact location of FB [8, 13, 14]. …”

Section: Discussionmentioning

confidence: 99%

An Unusual Pediatric Case of Allen Key Penetrating Trauma in Maxillofacial Region

Görgülü

Koç

et al. 2018

Case Reports in Radiology

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Paranasal sinus (PNS) foreign bodies are not common. They are usually due to penetrating trauma and iatrogenic events. On imaging, radiopaque foreign bodies can easily be detected by X-ray views of PNS. CT scan may be necessary to evaluate the exact location of foreign body in some cases. Foreign body in the PNS should be removed as early as possible. Approach and technique of its removal depend upon its size, shape, and location. Nasal endoscopic examination can be helpful for these cases. We present a pediatric girl case of penetrating FB injury inserted into the maxillary sinus towards nasopharynx in a suddenly braking car.

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Section: Discussionmentioning

confidence: 99%

An Unusual Pediatric Case of Allen Key Penetrating Trauma in Maxillofacial Region

Görgülü

Koç

et al. 2018

Case Reports in Radiology

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“…These complications range from cerebrospinal fluid fistulas 1 , 2 and optic nerve compression 3 to a spectrum of infections, including abscess, empyema, orbital cellulitis, meningitis, and osteomyelitis. 4 , 5 …”

Section: Diagnosis: Foreign Bodies Within Paranasal Sinusesmentioning

confidence: 99%

Facial pain after choking

Mitina,

Bhalli,

Milizia

2024

JACEP Open

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plaints of facial pain following a choking episode while eating chicken wings. He reported feeling like he was choking and subsequently coughed, after which he began experiencing facial pain and congestion.He was afebrile but had an elevated blood pressure with a normal heart F I G U R E 1 Computed tomography (CT) soft tissue neck showing evidence of a chicken bone angled and impacted into the ethmoid air cells. The patient was transferred to another hospital to be evaluated by the Ear, Nose & Throat (ENT) specialists and had chicken bone removed endoscopically. He had a full recovery.

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“…Akiduobės viršūnės ir regos nervo kanalo pokyčiams diagnozuoti KT ašinius ir vainikinius pjūvius rekomenduojama atlikti atitinkamai kas 2 ir 1 mm [44]. MRT reikalingas pamatyti, kokia auglio penetracija į smegenų audinius arba nurodant N. opticus kompresiją [32,58]. MRT reikėtų atlikti prieš gydymą steroidais, nes patologiniai pakitimai gydant labai greitai praeina ir daugiau nerandami, todėl sunkiau nustatoma diagnozė [6].…”

Section: Literatūros Apžvalga Ir Diskusijaunclassified

Retrobulbarinis Pseudotumoras Dėl Skruoste Užsilikusio Smulkaus Metalinio Svetimkūnio: Klinikinio Atvejo Aprašymas Ir Literatūros Apžvalga

Aleksiūnienė¹,

Justickis²

2013

Sveikatos Mokslai

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Aim: to present a patient’s clinical case; to demonstrate how important is to suspect rertrobulbar pseudotumor timely, why it is necessary to remove even the smallest metal foreign bodies from the jaw area; to show the importance of an integrated simultaneous clinical delivery on the spot during the investigation of a complex illness. Case report: presenting the clinical case – patient MA (66 years of age) right eye vision started to deteriorate 6 years ago, a small defect of a pupil (abnormal pupil shape) was found; after the remove a cataract operation, the vision improved (during the week after the operation the patient has not used prescribed corticosteroid drops in the eye, this incompliance with prescription caused the uveitis anterior, which went away in 2 months after relevant treatment started). One year after surgery a pain appeared in the area of the right cheek, teeth and beneath the right eye, manifested hearing weakness dextra side. Several dentists treated this patient. Also rhinologist, mouth, face, jaw surgeons and oncologists were involved. Diagnosis: alveolitis, sinusitis, osteomielitis sinus maxilaris dextra, a foreign body in a right maxillary sinus projection. Patient was examined for TBC, sarcoidosis, fungal illness, syphilis, all with negate results. Gradually right eye became blind. After the vision of the left eye began to deteriorate, further cataract surgery was undertaken. The further sudden deterioration in the general condition of the patient was treated in the neurological and supportive therapy departments for several months. Diagnosis: cerebellar degeneration and chronic polyneuropathy ataxia, unspecified dementia, extraocular palsies, metabolic hepatitis, chronic pancreatitis, bladder disturbance. During that time a protrusion of the right eye gradually enlarged and became more exposed. The left eye became blind several months later. KT and MRT: right eye’s retrobulbar tumor spread through eyehole slots intracranial and to left orbit; a small metal foreign body was found subcutaneously in the right cheek. A biopsy was taken from the para- and retrobulbar tissues: fibromatosis was diagnosed. Half a year later a sphenoorbital meningioma was suspected and the surgery aimed to partially remove a tumor from the right orbit was performed. During this stay under the neurosurgeons care it becomes clear that episodes of psychomotor agitation were also present. The eyelids of the right eye were sutured to protect the cornea against perforation. Histologic diagnosis: retrobulbar pseudotumor of both eyes. Metal foreign body remained untouched. The ophthalmologist removed the foreign metal body, which was situated in the cheek subcutaneously, close to N. infraorbitalis with capsule in a local polyclinic soon afterwards. The composition of the foreign metal object was investigated: it was found that 95% of it was iron with small amounts of rare metals usually found in steel alloy, calcium. Histology detected hemosiderosis in connective tissue of capsule. Patient was examined by a rheumatologist on the basis of the suspicion of Wegener granuliomatosis. Data to confirm Wegener’s granulomatosis was not enough; internal organs without lesions, it was diagnosed cholelithiasis and fibrotic lesions in the lungs. It was confirmed systemic transgression of connective tissue with retrobulbar pseudotumor diagnosis. Corticosteroid treatment was given for 1 month. Patient was examined 8, 15 and 27 month after foreign body removal later: the skin of the face was free of scars, eyelids of the right eye has been sutured; the left eye had no inflammation, refracto- and keratometry findings were the same, like 4 years before; levels of immunoglobulins G and E in blood decreased - normal; the systemic transgression of connective tissue remained. Patient walks with a wide-based gait, he becames totally dependent on care (he is blind and desorientated at place and time, his personality has changed; Mini Mental State Examination 13/30). This story showed, how it is important to have a complete understanding of the patients health from various medical specialists at the same physical place and at the same time. The case shows surprising differences of results of radiologic examination of the same case.

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Fremdkörper in den Nasennebenhöhlen

Abstract: A smear should be taken whenever the foreign body remained in the sinus for more than 4 days. Foreign bodies jammed in the posterior wall of the sinus require a sufficiently open view since the risk of heavy bleeding is especially high.

Cited by 19 publications

References 14 publications

An Unusual Pediatric Case of Allen Key Penetrating Trauma in Maxillofacial Region

An Unusual Pediatric Case of Allen Key Penetrating Trauma in Maxillofacial Region

Facial pain after choking

Retrobulbarinis Pseudotumoras Dėl Skruoste Užsilikusio Smulkaus Metalinio Svetimkūnio: Klinikinio Atvejo Aprašymas Ir Literatūros Apžvalga

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