The authors have no funding, financial relationships, or conflicts of interest to disclose.
Gossypiboma: An unusual intracranial complication of endoscopic sinus surgery†
Article first published online: 8 FEB 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc., Rhinological, and Otological Society, Inc.
Volume 121, Issue 4, pages 879–881, April 2011
How to Cite
Tan, V. E. S. and Sethi, D. S. (2011), Gossypiboma: An unusual intracranial complication of endoscopic sinus surgery. The Laryngoscope, 121: 879–881. doi: 10.1002/lary.21257
- Issue published online: 23 MAR 2011
- Article first published online: 8 FEB 2011
- Manuscript Accepted: 4 MAY 2010
- Manuscript Received: 22 MAR 2010
- Retained foreign body;
- intracranial gossypiboma;
- endoscopic sinus surgery;
We report a case of a 52-year-old man who presented with iatrogenic bilateral nasoethmoidal meningoencephaloceles following endoscopic nasal surgery performed in a neighboring country 8 years ago. Imaging studies, including computed tomography and magnetic resonance imaging of the paranasal sinuses and anterior skull base, demonstrated bilateral meningoencephaloceles and a suspicious intracranial lesion. In view of the intracranial lesion and size of the skull base defect, an external approach via a bicoronal flap was used for exploration and repair. Intraoperative findings revealed the suspicious intracranial lesion to be a retained piece of gauze. The patient underwent a successful removal of the foreign body and repair of the skull base defect. Postoperative recovery was uneventful. To our knowledge, an iatrogenic intracranial foreign body following an endonasal endoscopic procedure has never been reported before. Laryngoscope, 2011