Pompa MLA, Guerrero AMV

Language: Spanish
References: 7
Page: 614-622
PDF size: 264.33 Kb.

ABSTRACT

Introduction: foreign Bodies in Otolaryngology are not so common in paranasal sinuses due to the location of them, subjacent to the maxillofacial bone; big traumas that fracture these protective covering are necessary in such a way that any foreign body could penetrate on them, so this is only described in huge accidents, seismic catastrophes or in wars through bullets that impact the face. Sometimes they are not diagnosed and they are therefore forgotten due to the medical inexperience or the lack of resources for its exploration in least developed countries.
Case presentation: it is reported the case of a 41 years old Ugandan female who arrived to Emergency room after has been involved in a traffic accident while she was driving her car at high speed. She suffered serious maxillofacial lesions, and in the physical examination it was detected a foreign body in the right ethmoid-esphenoidal sinusal complex, and after the CAT it was confirmed that the FB penetrated 0, 5 cm in the anterior wall of the homolateral sphenoid sinus.
Discussion: a consistent ethmoid- esphenoidal foreign body in a part of the crystal of the rearview mirror that in tomographic measures it was about 4,5cm length for 2, 7 wide, and it penetrated after the fracture of the nasal bone, with exposures of the ethmoidal cells; these cells are like the structure of a honey comb with thin and weak divisions that facilitate the advance towards the deepness of the foreign body and they are easily scraped in surgery. It was removed with general anesthesia.
Conclusions: sinusal foreign bodies are extremely weird in Otolaryngology conditions; they are only described in war conflicts, earth disasters and traffic accidents. That is the reason why in countries at war and in disasters there foreign may be forgotten for medical inexperience or the lack of resources for its proper diagnosis.

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