Gunshot wounds of the paranasal sinuses

Gunshot wounds of the paranasal sinuses are through, tangential, blind. Symptoms of traumas of the paranasal sinuses are similar to the signs of nasal damage, but bleeding is more abundant and more often there are suppuration processes, osteomyelitis, pseudo-cholesteatoma. A blind wound to the nose or paranasal sinuses, the gripping area of ​​the orbit, the cavity and the base of the skull, pose a danger to life. To clarify the diagnosis of great importance is radiography.

Treatment. Bleeding stops with a tamponade. In the absence of effect, the external carotid artery is bandaged. The primary treatment of the wound is performed. The foreign body is removed endo- or extra-nasal. Enter antitetanus serum and toxoid. According to the indications, antibiotics and sulfanilamide preparations are prescribed.