Sinoorbital gunshot injuries. Endoscopic diagnostics and management.
Gunshot injuries to the paranasal sinuses and orbita are uncommon. Their severity depends on missile track in tissues. Such injuries can involve the orbit, paranasal sinuses, or brain. This article reports the main clinical criteria and the aspects of surgical management. Functional endoscopic sinus surgery is the most appropriate technique for removing projectiles left. This article also presents one case of airgun injury to the sphenoid sinus with retained missile that was safely removed using endoscopic procedures.
Balseris
Svajūnas
S
Vilnius University Emergency Hospital, Siltnamiu 29, 04130 Vilnius, Lithuania.
Einoriene
Dalia
D
Martinkenas
Jonas Laimutis
JL
Tolocka
Rimvydas
R
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D004724:Endoscopy; D005547:Foreign Bodies / Q000601:surgery; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000293:injuries*; D011182:Postoperative Care; D013101:Sphenoid Sinus / Q000293:injuries*; D013406:Suicide, Attempted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014945:Wound Healing; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*
D000900:Anti-Bacterial Agents; D005839:Gentamicins