This paper is to present a technique of removing a smoll air gun bullet in the brain by nasal approach.
A small lead bullet was accidentally shot in the brain of a 13 years old boy through right frontal sinus.
Repeated radiographic examinations including tomography were made in order to locate the accurate localization of the foreign body.
The bullet was located 2 cm. above the base of the skull 5 cm. apart from the posterior bony wall of the frontal sinus and 1 cm. away to the left from the midline.
A lateral rhinotomy 2as mas performed, the right ethomoid cells were excenterated, then the dura mater was incised at the roof of the cells after the bony wall was removed in an area of 2 × 3cm.
The brain was carefully sounded and the bullet was locedat and removed by forceps.
The postoperative course has been uneventful without any signs of intracranial complications or sequere.
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