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KMID : 0900220160230010049
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대한비과학회지
2016 Volume.23 No. 1 p.49 ~ p.54
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Complex Anterior Skullbase Fracture Caused by a Bottle Cap: A Case Report and Review of the Literature
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Cho Jung-Kyu
Kim Joon-Ho
Hong Sang-Duk
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Abstract
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We report a case of foreign body presence in the ethmoid sinus cavity with anterior skull base fracture and visual loss. A
42-year-old male had an uncertain history of trauma and a penetrating wound near the left medial canthus. Computed tomography imaging showed a 3.0-cm bottle cap penetrating into the anterior skull base. He underwent foreign body removal, canalicular repair, ethmoidectomy, and cerebrospinal fluid leakage repair using packing material. Six months after the initial surgery, a second-stage operation for blow-out fracture repair was performed. At the 18-month postoperative follow-up from the initial surgery, the patient had no complaints except anosmia. This is a very rare case of a large, blunt, foreign body penetrating into the anterior skull base without long-term complications after successful removal and skull base repair. Simultaneous repair of cerebrospinal fluid leakage, management of canaliculi injury, and traumatic optic nerve neuropathy should be considered in such cases.
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KEYWORD
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Skull base, Bottle cap, Foreign body
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