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Combined External-Endoscopic Endonasal Assisted Removal of a Nail Gun

Dehgani Mobaraki, Puya MD; Longari, Fabrizio MD; Lapenna, Ruggero MD; Ricci, Giampietro MD

Journal of Craniofacial Surgery: June 2016 - Volume 27 - Issue 4 - p 986–987
doi: 10.1097/SCS.0000000000002649
Clinical Studies
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Management of penetrating trauma to the paranasal sinuses with retained foreign bodies represents a challenge due to the proximity to vital neurovascular structures. The authors report the successful treatment of a patient with a work-related nail gun injury, carried out by means of a combined endoscopic endonasal external assisted procedure.

A transnasal endoscopic approach was planned to minimize inadvertent movements of the nail during surgery and in case necessary to repair the orbit or skull base. No major bleeding or neurovascular complication was observed after surgery and a computed tomography scan was performed after surgery confirming the complete removal of the nail and with no damage of the orbit nor the skull base.

*Section of Otorhinolaryngology, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, University of Perugia, Perugia

Association “Naso Sano” ONLUS, Regional Registry of Volunteer Activities, Corciano, Italy.

Address correspondence and reprint requests to Puya Dehgani Mobaraki, MD, Section of Otorhinolaryngology, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, Via G Dottori 1, 06156 Perugia (PG); Association “Naso Sano” ONLUS, Via L Benincasa 2, 06073 Corciano (PG), Italy; E-mail: dehganipuya@gmail.com

Received 9 January, 2016

Revised 5 March, 2016

Accepted 7 March, 2016

The authors report no conflicts of interest.

© 2016 by Mutaz B. Habal, MD.