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DOI: 10.1055/s-0041-1727702
Rostrum saves the brain but not the patient
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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Der Erstautor gibt keinen Interessenskonflikt an.
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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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