Anterior cranial base reconstruction following a complicated nasal septoplasty

Giorgio Carrabba, Claudio Guastella, Sergio M. Gaini, Diego Spagnoli

Research output: Contribution to journalArticlepeer-review


We present a 29 year old man who had unilateral visual loss and 3rd cranial nerve palsy after a nasal septoplasty. Nasal packing was extending from the right nasal cavity into the right frontal lobe passing through the right orbit. A combined trans-cranial and endoscopic endonasal approach was performed to safely remove the nasal packing and to achieve a leak-proof sealing of the anterior cranial base. This surgical technique proved successful in the management of this unique complication and should be considered in the surgical management of foreign body removal from the anterior cranial base.

Original languageEnglish
Pages (from-to)701-703
Number of pages3
JournalActa Neurochirurgica
Issue number6
Publication statusPublished - Jun 2009


  • Anterior cranial base reconstruction
  • Endoscopic endonasal approach
  • Intracranial complication
  • Nasal packing
  • Pericranial flap
  • Septoplasty

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery


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