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Endoscopic removal of foreign body from the anterior cranial fossa

Published online by Cambridge University Press:  19 March 2007

S Thomas ,
A Daudia  and
N S Jones
S Thomas*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
A Daudia
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
N S Jones
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
*
Address for correspondence: Mrs Shalini Thomas, SHO in Otolaryngology, Department of Otolaryngology, Queen's Medical Centre, University Hospital NHS Trust, Nottingham NG7 2AU, UK. E-mail: shalini1thomas2@yahoo.co.uk
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Abstract

Intracranial foreign bodies are typically removed via a craniotomy, which carries significant peri-operative risks. Nasal endoscopy for removal of intracranial foreign bodies is rare and has been attempted only a few times. Here, we describe a case in which nasal endoscopy was employed to successfully remove an air rifle pellet from the anterior cranial fossa, with subsequent repair of the associated cerebrospinal fistula. We thus advocate nasal endoscopy as an alternate line of management for the removal of foreign bodies from the anterior cranial fossa when possible, due to its significantly lower associated morbidity, provided adequate neurosurgical backup is available if required.

Keywords

Nasal CavityEndoscopicForeign BodyCranial Fossa
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 794 - 795
Copyright
Copyright © JLO (1984) Limited 2007

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References

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