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P388: ENDOSCOPIC REMOVAL OF A PENETRATING NASAL FOREIGN BODY WITH ANTERIOR SKULL BASE REPAIR
Eleni Mijalis, MD¹; Hunter Hammett, BS²; Joaquin Hidalgo, MD¹; Keonho Kong, MD¹; ¹University of Mississippi Medical Center; ²University of Mississippi Medical Center - School of Medicine

This video demonstrates image-guided endoscopic removal of a penetrating nasal foreign body and skull base repair in a 39-year-old status post nailgun injury. Preoperative imaging showed a 3-inch metallic foreign body traversing the left nasal cavity with violation of the anterior skull base. Using a right transsphenoidal approach, the foreign body was removed under direct visualization. Skull base was repaired with DuraGen inlay and free mucosal graft onlay from the middle turbinate.

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