Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-21T14:39:10.239Z Has data issue: false hasContentIssue false
  • English
  • Français

Endoscopic removal of foreign body from the anterior cranial fossa

Published online by Cambridge University Press:  19 March 2007

S Thomas ,
A Daudia  and
N S Jones
S Thomas*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
A Daudia
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
N S Jones
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
*
Address for correspondence: Mrs Shalini Thomas, SHO in Otolaryngology, Department of Otolaryngology, Queen's Medical Centre, University Hospital NHS Trust, Nottingham NG7 2AU, UK. E-mail: shalini1thomas2@yahoo.co.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Intracranial foreign bodies are typically removed via a craniotomy, which carries significant peri-operative risks. Nasal endoscopy for removal of intracranial foreign bodies is rare and has been attempted only a few times. Here, we describe a case in which nasal endoscopy was employed to successfully remove an air rifle pellet from the anterior cranial fossa, with subsequent repair of the associated cerebrospinal fistula. We thus advocate nasal endoscopy as an alternate line of management for the removal of foreign bodies from the anterior cranial fossa when possible, due to its significantly lower associated morbidity, provided adequate neurosurgical backup is available if required.

Keywords

Nasal CavityEndoscopicForeign BodyCranial Fossa
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 794 - 795
Copyright
Copyright © JLO (1984) Limited 2007

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

1Dodson, KM, Bridges, MA, Reiter, ER. Endoscopic transnasal management of intracranial foreign bodies. Arch Otolaryngol Head Neck Surg 2004;130:985–8Google Scholar
2Cetinkaya, EA, Okan, C, Pelin, K. Transnasal, intracranial penetrating injury treated endoscopically. J Laryngol Otol 2006;120:325–6Google Scholar
3Marshall, A, Jones, NS, Robertson, I. CSF rhinorrhoea: a multidisciplinary approach to minimise patient morbidity. Br J Neurosurg 2001;15:8–13Google Scholar
4Brinson, GM, Senior, BA, Yarbrough, WG. Endoscopic management of retained airgun projectiles in the paranasal sinuses. Otolaryngol Head Neck Surg 2004;130:25–9Google Scholar
5Casler, JD, Doolittle, AM, Mair, EA. Endoscopic surgery of the anterior skull base. Laryngoscope 2005;115:16–24CrossRefGoogle ScholarPubMed
6Jones, NS. The risks and benefits of endoscopic removal of a foreign body from the anterior cranial fossa: a case report. BMJ 2001;322:122–3Google Scholar
7Mirsa, S, Thaper, A, McClelland, L, Jones, NS. Sinonasal cerebrospinal fluid leaks: management of 97 patients over 10 years. Laryngoscope 2005;115:1774–7Google Scholar