What question did this study set out to answer?

To describe the management of a blowdart injury penetrating the inferior clivus in a pediatric patient.

May 29, 2026ORL

“Cold Steel”: A Case Report of Endoscopic Trans-Clival Approach for Management of a Blowdart Injury

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Case report demonstrates successful removal of blowdart injury in a pediatric patient, suggesting potential for expanded endonasal approaches.

To describe the management of a blowdart injury penetrating the inferior clivus in a pediatric patient.
Patient presented with nasal penetrating injury from a blow dart, structured CT and CTA was performed for assessment.
Endoscopic trans-clival approach was used for removal of the blow dart and management of CSF leak.
Post-operative follow-up conducted over 14 months with monitoring for complications.
Successful removal of the blow dart with no intraoperative complications.
Controlled CSF leak using bone wax, abdominal fat graft, and free mucosal graft.
No evidence of pneumocephalus, vascular injury, or recurrent CSF leak at follow-up.

KHAN et al. (2026) studied this question.

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Case report demonstrates successful removal of blowdart injury in a pediatric patient, suggesting potential for expanded endonasal approaches.