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Sphenoid Sinus Foreign Body After Le Fort I Osteotomy. | LitMetric

Sphenoid Sinus Foreign Body After Le Fort I Osteotomy.

J Craniofac Surg

Department of Oral and Maxillofacial Surgery, Division of Medicine, Interdisciplinary Graduate School, University of Yamanashi, Shimokato, Chuoshi, Japan.

Published: November 2023

AI Article Synopsis

  • The report details a unique case where a fragment of an osteotome was accidentally left in the sphenoid sinus during a Le Fort I osteotomy surgery.
  • A CT scan post-surgery revealed a 2-mm round foreign body in the sinus, which was identified as the broken tip of the osteotome after checking surgical tools.
  • The foreign body was successfully removed through a minimally invasive procedure using an endoscope and navigation CT, resulting in a positive recovery outcome.

Article Abstract

This report describes a rare case of a foreign body in the sphenoid sinus from the tip of an osteotome, which was lodged during the Le Fort I osteotomy. After surgery, a 2-mm-diameter round-shaped foreign body was seen as an opaque image in the right sphenoid sinus on computed tomography. The tip of the broken osteotome (Bauer) was confirmed after the intraoperative instruments were investigated. The foreign body was removed using an interventional endoscope and navigation computed tomography, and a good prognosis was obtained.

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Source
http://dx.doi.org/10.1097/SCS.0000000000009830DOI Listing

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