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: email@example.com
Received 9 January, 2016
Revised 5 March, 2016
Accepted 7 March, 2016
The authors report no conflicts of interest.