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Integrated management of concurrent traumatic penetrating brain injury and electrical injury: illustrative case.
J Neurosurg Case Lessons
December 2024
Department of Neurosurgery, Hendrick Medical Center, Abilene, Texas.
Background: Transorbital penetrating brain injury (PBI) accompanied by electrical injury is an extremely rare presentation. This type of traumatic injury has a unique set of diagnostic and therapeutic challenges due to the potential multiple organ system involvement and severe neurological complications.
Observations: A 50-year-old male experienced a high-impact injury from a welding spike that penetrated the orbit just above the eyeball with a concurrent electrical injury; the electricity exited through the great toe.
Ethmoid Sinus Mucocele Penetrating the Anterior Skull Base: A Case Report.
J Rhinol
July 2024
Division of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea.
Sinus mucoceles are nonmalignant cystic tumors lined by non-neoplastic epithelium, typically involving the frontal and ethmoid sinuses. Although it is common for these mucoceles to cause destruction of surrounding bone tissue due to their growth, cerebrospinal fluid leaks resulting from skull base penetration by an ethmoid sinus mucocele have rarely been reported. A 24-year-old male patient presented with right proptosis and right periorbital pain, who underwent bilateral endoscopic sinus surgery 12 years ago.
View Article and Find Full Text PDFNecessary Factors for Efficient Frontal Sinus Irrigation After Endoscopic Sinus Surgery: A Systematic Review.
J Otolaryngol Head Neck Surg
August 2024
Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing, PR China.
Objective: The frontal sinus remains a challenging site for irrigation due to its position relative to the nostril and ethmoid sinus. This study aims to summarize the necessary factors for efficient irrigation of the frontal sinus after endoscopic sinus surgery (ESS) among patients with chronic rhinosinusitis (CRS).
Methods: Using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a systematic literature review was conducted on PubMed, Scopus, and Cochrane databases to identify studies assessing the effect of frontal sinus irrigation in patients with CRS, cadaver models, or 3D-printed models of the sinonasal cavity after ESS.
Retained foreign body in nose following eye injury.
BMJ Case Rep
July 2024
Department of ENT and Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, Ansari Nagar, New Delhi, India.
A man in his 60s presented with diminution of vision of the left eye with nasal bleeding after accidental fall. On examination his left upper eyelid was lacerated and left temporal sclera was punctured which was repaired under local anaesthesia after which he was discharged by ophthalmologists but continued to complain of pain and left nasal obstruction. A non-contrast CT of paranasal sinuses revealed fracture of medial wall of left orbit, left ethmoid haemosinus and a metallic foreign body (FB) in the septum and anterior face of sphenoid.
View Article and Find Full Text PDFPost-Traumatic Intracranial Pseudoaneurysm Presenting as Epistaxis.
Open Access Emerg Med
April 2024
Department of Interventional Neuro-Radiology, St. Elizabeth Hospital, Youngstown, OH, USA.
Article Synopsis
- - Epistaxis, or nosebleeds, is a common issue in emergency settings, affecting approximately 60% of people at some point; common causes include nose picking, trauma, and blood disorders, with rare causes like intracranial pseudoaneurysms.
- - A case study details a 24-year-old woman, who suffered a severe nosebleed and hemorrhagic shock linked to a previously sustained gunshot wound, leading to the discovery of a pseudoaneurysm in her internal carotid artery.
- - The patient underwent successful embolization of the aneurysm and showed improvement, underscoring the importance of considering intracranial vascular issues in emergency cases, especially in patients with past head injuries. *
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