title: Combined External-Endoscopic Endonasal Assisted Removal of a Nail Gun.
abstract: Management of penetrating trauma to the paranasal sinuses with retained foreign bodies represents a challenge due to the proximity to vital neurovascular structures. The authors report the successful treatment of a patient with a work-related nail gun injury, carried out by means of a combined endoscopic endonasal external assisted procedure.A transnasal endoscopic approach was planned to minimize inadvertent movements of the nail during surgery and in case necessary to repair the orbit or skull base. No major bleeding or neurovascular complication was observed after surgery and a computed tomography scan was performed after surgery confirming the complete removal of the nail and with no damage of the orbit nor the skull base.
authors.affiliation: *Section of Otorhinolaryngology, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, University of Perugia, Perugia †Association "Naso Sano" ONLUS, Regional Registry of Volunteer Activities, Corciano, Italy.
authors.forename: Puya
authors.initials: P
authors.lastname: Dehgani Mobaraki
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Longari
authors.forename: Ruggero
authors.initials: R
authors.lastname: Lapenna
authors.forename: Giampietro
authors.initials: G
authors.lastname: Ricci
mesh_terms: D000328:Adult; D005547:Foreign Bodies / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D009262:Nails; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D009666:Nose; D010256:Paranasal Sinuses / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000601:surgery*