Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (4): 135-141.doi: 10.6040/j.issn.1673-3770.0.2023.486

• Original Article • Previous Articles     Next Articles

Through the orbit with sinus huge foreign bodies embedded in the base of the skull: a case report and literature review

GUO Rongchang1, LIU Qinghang1, WANG Hongzeng2, SUN Shujun2   

  1. 1. School of Clinical Medicine, Shandong Second Medical University, Weifang 261000, Shandong, China2. Department of Otorhinolaryngology, Affiliated Hospital of Shandong Second Medical University, Weifang 261000, Shandong, China
  • Online:2025-07-20 Published:2025-08-11

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Abstract: Objective To explore the clinical diagnosis and treatment plan for traumatic foreign bodies in the nasal cavity and paranasal sinuses, in order to avoid clinical misdiagnosis or missed diagnosis, and to provide a clinical reference for the treatment of traumatic foreign bodies in the nasal cavity and paranasal sinuses. Methods A retrospective analysis was performed on the clinical data of a patient with giant nasal eye penetration and skull base entrapment foreign body injury, and relevant literature on foreign bodies in the nasal cavity and paranasal sinuses was reviewed. Results Based on the patient's history and CT examination, the foreign body in the paranasal sinus and the orbital penetration injury were confirmed. The foreign body was successfully removed by nasal endoscopy combined with external eye approach during surgery, and the patient recovered well after surgery. Conclusion Foreign bodies in the nasal cavity and paranasal sinuses are common emergencies in the otolaryngology department. Some foreign bodies in the nasal cavity and paranasal sinuses caused by trauma often bring difficulties in clinical diagnosis and treatment. Detailed history taking, imaging examination and nasal endoscopic examination can provide the basis for diagnosis to avoid misdiagnosis or missed diagnosis. Surgeons must choose surgical techniques flexibly according to specific circumstances, among which endoscopic nasal surgery has gradually become the preferred treatment method.

Key words: Nasal sinuses, Foreign body, Skull base, Endoscopic sinus surgery

CLC Number: 

  • R765.8
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