engleski

Fracture of the ethmoid and the medial orbital wall. Removal of the bullet per viam 3D C – FESS

Foreign bodies of paranasal sinuses are quite an infrequent finding. They are usually detected after various types of head trauma. They most commonly occur as a consequence of improper handling firearms or explosives. In the countries at war, e.g. during the Patriotic War in Croatia, adults and children were almost equally exposed to these injuries. This is also the main characteristic of all war injuries. High-quality CT diagnosis provides extremely valuable information on anatomical relationships between paranasal sinuses and the surrounding structures, thus significantly improving the safety of functional endoscopic sinus surgery (FESS). However, in spite of its numerous advantages, such a 2D-CT head display has some shortcomings. This is one of the reasons for developing a new approach, as we have called “computer assisted FESS in third dimension” (3D C-FESS), in pre- and intraoperative head imaging, as well as in posoperative analysis. Our first patient, operated per viam 3D C-FESS, was a 12-year-old child, who was inflicted a gunshot wound in the region of the left eye (May 1994).

fracture of the ethmoid ; removal of the bullet

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