title: Metallic foreign body in the sphenoid sinus after ballistic injury: a case report.
abstract: Paranasal 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.
authors.affiliation: Department of Neurosurgery, Mohammed-V Military Hospital, Rabat, Morocco. akhaddar@hotmail.fr
authors.forename: A
authors.initials: A
authors.lastname: Akhaddar
authors.forename: A
authors.initials: A
authors.lastname: Abouchadi
authors.forename: M
authors.initials: M
authors.lastname: Jidal
authors.forename: M
authors.initials: M
authors.lastname: Gazzaz
authors.forename: B
authors.initials: B
authors.lastname: Elmostarchid
authors.forename: O
authors.initials: O
authors.lastname: Naama
authors.forename: A
authors.initials: A
authors.lastname: Rzin
authors.forename: M
authors.initials: M
authors.lastname: Boucetta
mesh_terms: D000328:Adult; D001753:Blast Injuries / Q000000981:diagnostic imaging* / Q000601:surgery*; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D008670:Metals; D012887:Skull Fractures / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D013101:Sphenoid Sinus / Q000293:injuries*; D014057:Tomography, X-Ray Computed
chemical_list: D008670:Metals