Sphenoid sinus foreign body after a ballistic injury : a case report / Charles Mapalit.

By:

Mapalit, Charles, MD [author]

Language: English Publication details: Fairview, Quezon City Department of Otolaryngology, FEU-NRMF, 2011Description: 20 pages: photos (colored); (in folder)Content type:

text

Media type:

unmediated

Carrier type:

volume

LOC classification:

ENT20110002

Summary: ABSTRACT: This is a case of E.T., 53 year old male presenting with a gunshot wound on his right lower eyelid and limitation in lateral gaze, left eye. Skull X-ray was done which revealed a metallic slug superior to the sphenoidal sinus and inferior to the left orbital bone. While CT scan showed depressed fracture, right maxillary antrum with fracture lines in the adjacent bones, soft tissue swelling, right malar orbital region and frontal region, and a high velocity projectile slug lodged in the leftward sphenoid sinus with few tiny scattered fragments. With the imaging results, the final diagnosis was Gunshot Wound; Point of Entry Lower Eyelid, Right: Point of Exit, None, Lateral Rectus Palsy, OS, Depressed Maxillary fracture, Right. The ENT-HNS service contemplated on removing the foreign body and requested CT angiogram to better visualize the proximity of the metallic foreign body to the major vessels.

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Item type	Current library	Call number	Status	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation Research	ENT20110002 (Browse shelf(Opens below))	Available		R000083

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Includes appendices and bibliographical references.

ABSTRACT: This is a case of E.T., 53 year old male presenting with a gunshot wound on his right lower eyelid and limitation in lateral gaze, left eye. Skull X-ray was done which revealed a metallic slug superior to the sphenoidal sinus and inferior to the left orbital bone. While CT scan showed depressed fracture, right maxillary antrum with fracture lines in the adjacent bones, soft tissue swelling, right malar orbital region and frontal region, and a high velocity projectile slug lodged in the leftward sphenoid sinus with few tiny scattered fragments. With the imaging results, the final diagnosis was Gunshot Wound; Point of Entry Lower Eyelid, Right: Point of Exit, None, Lateral Rectus Palsy, OS, Depressed Maxillary fracture, Right. The ENT-HNS service contemplated on removing the foreign body and requested CT angiogram to better visualize the proximity of the metallic foreign body to the major vessels.

Research - Department of Otolaryngology

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