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KMID : 1037420160110010048
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Journal of Korean Skull Base Society
2016 Volume.11 No. 1 p.48 ~ p.52
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Bone Wax Causing a Delayed Foreign Body Granuloma in the Frontal Sinus
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Kim Beoung-Kwan
Kim El
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Abstract
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The bone wax is widely used to achieve hemostasis and sealing during the neurosurgery for cranial and spinal disorders. The authors present a rare case of bone wax granuloma developed 22 years later following the frontal sinus surgery. This patient suffered from progressive swelling and tenderness at the prior injured site. Brain images revealed an enhancing space-occupying lesion involve the frontal sinus and the extradural space. At revision surgery via a frontal sinusotomy, the excised material had the macroscopic appearance of waxy material and abscess formation within the frontal sinus. The bony defect was repaired with titanium plate. Pathology examination demonstrated giant cell reaction and localized abscess that encircle the bone wax. This report suggested that neurosurgeon should be aware of the potential complication that could arise from applying the bone wax during the skull base surgery.
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KEYWORD
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bone wax, foreign body granuloma, frontal sinus, inflammation
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