J Neurol Surg B Skull Base 2024; 85(S 01): S1-S398
DOI: 10.1055/s-0044-1780450
Presentation Abstracts
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“Cold Steel”: Endoscopic Trans-clival and Nasopharyngeal Approach for Removal of a Penetrating Blow Dart and Skull Base Reconstruction

Authors

  • Satyan B. Sreenath

    1   Indiana University School of Medicine, Indianapolis, Indiana, United States

  • Matthew P. Partain

    1   Indiana University School of Medicine, Indianapolis, Indiana, United States

  • Kaete A. Archer

    1   Indiana University School of Medicine, Indianapolis, Indiana, United States

  • Mitesh Shah

    1   Indiana University School of Medicine, Indianapolis, Indiana, United States
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A 7-year-old female presented after a blow-dart penetrated her nasal ala and lodged in the nasal cavity and skull base. CT/CTA confirmed a 9.6-cm foreign body breached the clival dura at the craniovertebral junction with the tip of the projectile abutting the vertebral artery.

We performed an endoscopic trans-clival and nasopharyngeal approach to remove the blow-dart and complete the skull base reconstruction. Patient did well and was discharged home after 5 days with no neurologic deficit.

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Artikel online veröffentlicht:
05. Februar 2024

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