Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-21T21:12:05.204Z Has data issue: false hasContentIssue false
  • English
  • Français

Cerebrospinal fluid rhinorrhoea revealing an unusual ethmoido-sphenoidal foreign body

Published online by Cambridge University Press:  12 July 2012

A Aubin ,
S Moriniere ,
P François  and
D Bakhos
A Aubin
Affiliation:
ENT and Cervico-facial Surgery Service, Centre Hospitalier Régional Universitaire de Tours, France
S Moriniere
Affiliation:
ENT and Cervico-facial Surgery Service, Centre Hospitalier Régional Universitaire de Tours, France
P François
Affiliation:
Neurosurgery Service, Centre Hospitalier Régional Universitaire de Tours, France Faculty of Medicine, University François-Rabelais of Tours, France
D Bakhos*
Affiliation:
ENT and Cervico-facial Surgery Service, Centre Hospitalier Régional Universitaire de Tours, France Faculty of Medicine, University François-Rabelais of Tours, France
*
Address for correspondence: Dr David Bakhos, 10 Boulevard Tonnellé, 37000 Tours, France Fax: +33 247 473 600 E-mail: bakhos_d@med.univ-tours.fr
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

Foreign bodies in the transnasal ethmoido-sphenoidal sinus are uncommon. We present a case of unilateral rhinorrhoea caused by a foreign body which had been lodged in the ethmoido-sphenoidal sinus for 38 years.

Case report:

A 40-year-old woman presented with unilateral rhinorrhoea. Computed tomography showed a foreign body located in the right ethmoido-sphenoidal sinus, with a defect of the lamina papyracea and the ethmoid roof. The endonasal approach did not permit extraction of the foreign body. A combined approach allowed the extraction of a pen cap, and the defect of the ethmoid roof was rebuilt.

Conclusion:

Despite its limitations, the endonasal approach remains the treatment of first choice for osteo-meningeal defects, because of its minimal invasiveness and high success rate. However, in the presented case a combined approach was needed.

Keywords

Cerebrospinal Fluid RhinorrhoeaForeign BodyNasal CavityEthmoid SinusesEndoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 9 , September 2012 , pp. 939 - 941
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Lescanne, E, Bakhos, D, Aesch, B, Celebi, Z, Maheut-Lourmière, J, Cottier, J-P et al. Anterior cerebrospinal fluid leaks in children and adults: five years experience. Rev Laryngol Otol Rhinol (Bord) 2008;129:227–32Google ScholarPubMed
2Akhaddar, A, Abouchadi, A, Jidal, M, Elmostarchid, B, Naana, O, Rzin, A et al. Metallic foreign body in the sphenoid sinus after ballistic injury: a case report. J Neuroradiol 2008;35:125–8CrossRefGoogle ScholarPubMed
3Kitajiri, SI, Tabuchi, K, Hiraumi, H. Transnasal bamboo foreign body lodged in the sphenoid sinus. Auris Nasus Larynx 2001;28:365–7CrossRefGoogle ScholarPubMed
4Fajardo, G, Chavolla, R, Loza, H, Ysunza, A, Solorio, J. Endoscopic removal of a foreign body in the ethmoidal region, four years after a penetration injury. Int J Pediatr Otorhinolaryngol 2006;1:81–4CrossRefGoogle Scholar
5Liu, SY, Cheng, WY, Lee, HT, Shen, CC. Endonasal transphenoidal endoscopy-assisted removal of shotgun pellet in the sphenoid sinus: a case report. Surg Neurol 2008;70(suppl 1):56–9CrossRefGoogle Scholar
6Mladina, R, Hat, J, Klapan, I, Heinzel, B. An endoscopic approach to metallic foreign bodies of the nose and paranasal sinuses. Am J Otolaryngol 1995;16:276–9CrossRefGoogle ScholarPubMed
7Bhattacharayya, N, Wenokkur, RK. Endoscopic management of a chronic ethmoid and sphenoid sinus foreign body. Otolaryngol Head Neck Surg 1998;118:687–90Google Scholar
8Tsao, YH, Kao, CH., Wang, HW, Chin, SC, Moe, KS. Transorbital penetrating injury of paranasal sinuses and anterior skull base by a plastic chair glide: management options of a foreign body in multiple anatomic compartments. Otolaryngol Head Neck Surg 2006;134:177–9CrossRefGoogle ScholarPubMed