• J Neuroradiology · May 2008

    Case Reports

    Metallic foreign body in the sphenoid sinus after ballistic injury: a case report.

    • A Akhaddar, A Abouchadi, M Jidal, M Gazzaz, B Elmostarchid, O Naama, A Rzin, and M Boucetta.
    • Department of Neurosurgery, Mohammed-V Military Hospital, Rabat, Morocco. akhaddar@hotmail.fr
    • J Neuroradiology. 2008 May 1; 35 (2): 125-8.

    AbstractParanasal sinus injuries by foreign bodies have a lower incidence compared with facial injuries. Among them, penetrating maxillofacial injuries to the sphenoid sinus and skull base remain rare. We report the case of a 41-year-old man who presented with, after a missile-related maxillofacial injury, a metallic foreign body enclosed within the sphenoid sinus with carotid-canal fracture. Angiographic evaluation showed a mass in the right internal carotid artery. The foreign object was successfully extracted through a transmaxillary sublabial approach with a good outcome. We discuss the extensive preoperative evaluation and interdisciplinary management of this unusual injury.

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