Transorbital Removal of Foreign Body in the Sphenoid Sinus

Authors

  • Daniel Jose C. Mendoza Department of Otorhinolaryngology - Head and Neck Surgery Jose R. Reyes Memorial Medical Center
  • Antonio H. Chua Department of Otorhinolaryngology - Head and Neck Surgery Jose R. Reyes Memorial Medical Center
  • Samantha S. Castañeda Department of Otorhinolaryngology - Head and Neck Surgery Jose R. Reyes Memorial Medical Center

DOI:

https://doi.org/10.32412/pjohns.v29i2.417

Keywords:

Sphenoid sinus foreign body, Computed Tomography (CT), Endoscopic-guided, transorbital approach

Abstract

Objective: To report a case of foreign body lodged within the sphenoid sinus and its extraction.

 

Methods:

            Design: Case Report

            Setting: Tertiary Government Hospital

            Patient: One

 

Results: An 11-year-old girl was hit in the eye by an unknown object from an improvised slingshot. She had loss of vision of the left eye and headache, without loss of consciousness. A plain craniofacial Computed Tomography (CT) scan showed a round opaque foreign body abutting the left sphenoid sinus, left posterior ethmoid cells and medial aspect of the left orbital region with adjacent soft tissue densities extending into the apparently ruptured, irregular left globe. The left posterior part of the lamina papyracea was not visualized, probably fractured or ruptured.  Transorbital enucleation of the left eye and endoscopic-guided removal of the foreign body (a glass marble) were performed with no intra – operative and post – operative complications.

Conclusion:  Foreign body of the sphenoid sinus is a rare condition. Adequate imaging is important for localization and planning the optimal surgical approach. Endoscopic guidance may aid in extraction.

Keywords: Sphenoid sinus foreign body, Computed Tomography (CT), Endoscopic-guided, transorbital approach

 

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Published

2014-12-02

How to Cite

1.
Mendoza DJC, Chua AH, Castañeda SS. Transorbital Removal of Foreign Body in the Sphenoid Sinus. Philipp J Otolaryngol Head Neck Surg [Internet]. 2014 Dec. 2 [cited 2024 Nov. 12];29(2):19-21. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/417

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