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Cerebrospinal fluid rhinorrhoea revealing an unusual ethmoido-sphenoidal foreign body

Published online by Cambridge University Press:  12 July 2012

A Aubin ,
S Moriniere ,
P François  and
D Bakhos
A Aubin
Affiliation:
ENT and Cervico-facial Surgery Service, Centre Hospitalier Régional Universitaire de Tours, France
S Moriniere
Affiliation:
ENT and Cervico-facial Surgery Service, Centre Hospitalier Régional Universitaire de Tours, France
P François
Affiliation:
Neurosurgery Service, Centre Hospitalier Régional Universitaire de Tours, France Faculty of Medicine, University François-Rabelais of Tours, France
D Bakhos*
Affiliation:
ENT and Cervico-facial Surgery Service, Centre Hospitalier Régional Universitaire de Tours, France Faculty of Medicine, University François-Rabelais of Tours, France
*
Address for correspondence: Dr David Bakhos, 10 Boulevard Tonnellé, 37000 Tours, France Fax: +33 247 473 600 E-mail: [email protected]
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Abstract

Introduction:

Foreign bodies in the transnasal ethmoido-sphenoidal sinus are uncommon. We present a case of unilateral rhinorrhoea caused by a foreign body which had been lodged in the ethmoido-sphenoidal sinus for 38 years.

Case report:

A 40-year-old woman presented with unilateral rhinorrhoea. Computed tomography showed a foreign body located in the right ethmoido-sphenoidal sinus, with a defect of the lamina papyracea and the ethmoid roof. The endonasal approach did not permit extraction of the foreign body. A combined approach allowed the extraction of a pen cap, and the defect of the ethmoid roof was rebuilt.

Conclusion:

Despite its limitations, the endonasal approach remains the treatment of first choice for osteo-meningeal defects, because of its minimal invasiveness and high success rate. However, in the presented case a combined approach was needed.

Keywords

Cerebrospinal Fluid RhinorrhoeaForeign BodyNasal CavityEthmoid SinusesEndoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 9 , September 2012 , pp. 939 - 941
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Lescanne, E, Bakhos, D, Aesch, B, Celebi, Z, Maheut-Lourmière, J, Cottier, J-P et al. Anterior cerebrospinal fluid leaks in children and adults: five years experience. Rev Laryngol Otol Rhinol (Bord) 2008;129:227–32Google ScholarPubMed
2Akhaddar, A, Abouchadi, A, Jidal, M, Elmostarchid, B, Naana, O, Rzin, A et al. Metallic foreign body in the sphenoid sinus after ballistic injury: a case report. J Neuroradiol 2008;35:125–8CrossRefGoogle ScholarPubMed
3Kitajiri, SI, Tabuchi, K, Hiraumi, H. Transnasal bamboo foreign body lodged in the sphenoid sinus. Auris Nasus Larynx 2001;28:365–7CrossRefGoogle ScholarPubMed
4Fajardo, G, Chavolla, R, Loza, H, Ysunza, A, Solorio, J. Endoscopic removal of a foreign body in the ethmoidal region, four years after a penetration injury. Int J Pediatr Otorhinolaryngol 2006;1:81–4CrossRefGoogle Scholar
5Liu, SY, Cheng, WY, Lee, HT, Shen, CC. Endonasal transphenoidal endoscopy-assisted removal of shotgun pellet in the sphenoid sinus: a case report. Surg Neurol 2008;70(suppl 1):56–9CrossRefGoogle Scholar
6Mladina, R, Hat, J, Klapan, I, Heinzel, B. An endoscopic approach to metallic foreign bodies of the nose and paranasal sinuses. Am J Otolaryngol 1995;16:276–9CrossRefGoogle ScholarPubMed
7Bhattacharayya, N, Wenokkur, RK. Endoscopic management of a chronic ethmoid and sphenoid sinus foreign body. Otolaryngol Head Neck Surg 1998;118:687–90Google Scholar
8Tsao, YH, Kao, CH., Wang, HW, Chin, SC, Moe, KS. Transorbital penetrating injury of paranasal sinuses and anterior skull base by a plastic chair glide: management options of a foreign body in multiple anatomic compartments. Otolaryngol Head Neck Surg 2006;134:177–9CrossRefGoogle ScholarPubMed