Endoscopic sinus surgery for a tension pneumocephalus after severe cranio-facial trauma.
Tension pneumocephalus is a rare form of pneumocephalus in which the air is under pressure; it is generally due to communication between the atmosphere and the intracranial cavity, and is an infrequent (0.88%) complication of cranial trauma. Tension pneumocephalus causes an increase in intracranial pressure with deterioration of the neurological situation and requires emergency treatment. Endoscopic surgery of the paranasal sinuses, which is generally applied in the diagnosis and treatment of fistulas with cerebrospinal fluid leakage, was here used to treat a case of pneumocephalus due to cranio-ethmoidal communication, in a patient we had treated previously for severe cranio-facial trauma.
Bozza
F
F
Department of Maxillo-Facial Surgery, San Filippo Neri Hospital, Rome, Italy. fbozza@yahoo.it
Parziale
G
G
Nisii
A
A
Gazzeri
G
G
D006259:Craniocerebral Trauma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D004724:Endoscopy / Q000379:methods*; D005004:Ethmoid Bone / Q000293:injuries / Q000473:pathology / Q000601:surgery; D005005:Ethmoid Sinus / Q000293:injuries / Q000473:pathology / Q000601:surgery; D005151:Facial Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000601:surgery; D008297:Male; D009092:Mucous Membrane / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D010256:Paranasal Sinuses / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D011007:Pneumocephalus / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D019737:Transplants; D016896:Treatment Outcome; D055815:Young Adult