Windshield glass fragment mimicking a nasal fracture

Marcelo Zillo Martini, Shajadi Carlos Pardo-Kaba, Juliana Seo, Plinio Yokoyama, Fernando Kendi Horikawa, Iron Ricardo Machado Snidei, Elio Hitoshi Shinohara

Resumo


A male patient with facial trauma by road traffic accident arrived in the emergency room and he was assisted by the Trauma  and Neurosurgery team. After clinical evaluation a frontal sinus anterior wall fracture plus a nasal fracture were diagnosed. On the primary OMS examination was checked multiple facial lacerations and gross nasal dorsum deviation with pain, nasal airway obstruction and crepitus with clinical diagnosis of a nasal fracture. After radiologic exam a piece of windshield glass that was superimposed on the nasal bones simulating a nasal fracture was visualized. This paper presents clinical data and literature review of foreign body mimicking facial fractures.

Descriptors: Road Traffic Accident; Facial Fractures; Windshield Glass.

Referências

  1. Mazinis E, Lambrianidis T, Margelos J. Detection of a residual foreign body during root canal treatment. J Endod. 2005;31(9):691-93. 
  2. Gray ST. Windshield safety glass foreign body masquerading as a root fragment. Dentomaxillofac Radiol. 1994;23(1):49-51.
  3. Goldstein E, Gottlieb MA. Foreign bodies in the nasal fossae of children. Oral Surg Oral Med Oral Pathol. 1973;36(3):446-47 .
  4. Madhere S, Barba CA, Painter RL, Morgan AS. Aspiration of shattered windshield glass after blind nasotracheal intubation in a motor vehicle crash. J Trauma. 1997;43:353-56.

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DOI: http://dx.doi.org/10.21270/archi.v7i11.3050

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