CC BY-NC-ND 4.0 · Laryngorhinootologie 2021; 100(S 02): S39
DOI: 10.1055/s-0041-1727702
Abstracts
Endoscopy

Rostrum saves the brain but not the patient

A Wolf
1   Medizinische Universität Graz, HNO Universitätsklinik, Abteilung f. allgemeine HNO, Graz, Austria
,
A Andrianakis
1   Medizinische Universität Graz, HNO Universitätsklinik, Abteilung f. allgemeine HNO, Graz, Austria
,
C Holzmeister
1   Medizinische Universität Graz, HNO Universitätsklinik, Abteilung f. allgemeine HNO, Graz, Austria
,
U Moser
1   Medizinische Universität Graz, HNO Universitätsklinik, Abteilung f. allgemeine HNO, Graz, Austria
,
T Hirsch
1   Medizinische Universität Graz, HNO Universitätsklinik, Abteilung f. allgemeine HNO, Graz, Austria
,
T Weiland
1   Medizinische Universität Graz, HNO Universitätsklinik, Abteilung f. allgemeine HNO, Graz, Austria
,
P Kiss
1   Medizinische Universität Graz, HNO Universitätsklinik, Abteilung f. allgemeine HNO, Graz, Austria
,
P Tomazic
1   Medizinische Universität Graz, HNO Universitätsklinik, Abteilung f. allgemeine HNO, Graz, Austria
› Author Affiliations
 
 

    The 80-year-old male multimorbid patient was admitted to our emergency room. He attempted suicide by firing a small caliber handgun through his soft palate in the direction of the neurocranium. The patient was intubated due to heavy enoral bleeding. The craniofacial CT scan revealed a radiodense, metallic foreign body with a diameter of about 8 mm – matching the gun caliber – lodged into the rostrum sphenoidale (Figure 1 and 2). No intracranial injury was detected. Thus, we decided on endoscopic, endonasal removal of the bullet. The operation was performed under general anesthesia using four-hand technique. After opening the natural pathway of the sinus sphenoidalis, pieces of the bullet’s jacket were removed, lost bone tissue was replaced with wax, and a bioabsorbable sponge was used to alleviate bleeding. Despite the lack of surgical complications, unfortunately, our patient died 4 days post-operationcaused by multiple organ failure caused by his primary diseases.

    Poster-PDF A-1535.pdf


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    Conflict of interest

    Der Erstautor gibt keinen Interessenskonflikt an.

    Address for correspondence

    Priv.-Doz. Dr. med. Wolf Axel
    Medizinische Universität Graz, HNO Universitätsklinik, Abteilung f. allgemeine HNO
    Graz
    Austria   

    Publication History

    Article published online:
    13 May 2021

    © 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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