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Cerebrospinal fluid rhinorrhoea revealing an unusual ethmoido-sphenoidal foreign body

Published online by Cambridge University Press:  12 July 2012

A Aubin ,
S Moriniere ,
P François  and
D Bakhos
A Aubin
Affiliation:
ENT and Cervico-facial Surgery Service, Centre Hospitalier Régional Universitaire de Tours, France
S Moriniere
Affiliation:
ENT and Cervico-facial Surgery Service, Centre Hospitalier Régional Universitaire de Tours, France
P François
Affiliation:
Neurosurgery Service, Centre Hospitalier Régional Universitaire de Tours, France Faculty of Medicine, University François-Rabelais of Tours, France
D Bakhos*
Affiliation:
ENT and Cervico-facial Surgery Service, Centre Hospitalier Régional Universitaire de Tours, France Faculty of Medicine, University François-Rabelais of Tours, France
*
Address for correspondence: Dr David Bakhos, 10 Boulevard Tonnellé, 37000 Tours, France Fax: +33 247 473 600 E-mail: bakhos_d@med.univ-tours.fr
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Abstract

Introduction:

Foreign bodies in the transnasal ethmoido-sphenoidal sinus are uncommon. We present a case of unilateral rhinorrhoea caused by a foreign body which had been lodged in the ethmoido-sphenoidal sinus for 38 years.

Case report:

A 40-year-old woman presented with unilateral rhinorrhoea. Computed tomography showed a foreign body located in the right ethmoido-sphenoidal sinus, with a defect of the lamina papyracea and the ethmoid roof. The endonasal approach did not permit extraction of the foreign body. A combined approach allowed the extraction of a pen cap, and the defect of the ethmoid roof was rebuilt.

Conclusion:

Despite its limitations, the endonasal approach remains the treatment of first choice for osteo-meningeal defects, because of its minimal invasiveness and high success rate. However, in the presented case a combined approach was needed.

Keywords

Cerebrospinal Fluid RhinorrhoeaForeign BodyNasal CavityEthmoid SinusesEndoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 9 , September 2012 , pp. 939 - 941
Copyright
Copyright © JLO (1984) Limited 2012

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