- 期刊
Unusual Penetrating Injury of Maxillary Sinus-Case Report
不尋常上頜竇穿刺傷案例－病例報告
摘要
Penetrating sinonasal injury resulting from bamboo chopsticks is a rare but emergent condition. A 78-year-old woman was transferred to our emergency department after she sustained penetrating injury after a fall. On physical examination, two bamboo chopsticks penetrating into left nostril were noted. A computed tomography scan showed two foreign bodies passing through the left nasal cavity and nasal septum to the right maxillary sinus, accompanied by a fracture of the posterior wall of maxillary sinus. Under general anesthesia, the bamboo chopsticks and their debris were completely removed in an endoscopic procedure. The patient's facial wound healed completely without complications, and she was discharged and followed up for six months. We present this case because of the unusual aspect of penetrating injury by two foreign objects in an elderly diabetic woman.
並列摘要
竹筷所造成之鼻竇穿刺傷是罕見而且緊急的狀況。1名78歲女性在跌倒後，意外導致竹筷穿刺上頜竇，而至本院急診就醫。理學檢查顯示二竹筷穿入左鼻孔，電腦斷層發現兩異物穿過左鼻腔、鼻中膈至右上頜竇且伴隨右上頜竇後壁骨折。病患於全身麻醉下用內視鏡取出竹筷及殘骸。術後病患臉部傷口自然癒合無併發症並順利出院，病人出院後6個月追蹤無後遺症。本篇呈現患糖尿病年長婦女，因意外由竹筷經不尋常角度穿刺至鼻竇之病例報告。