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Case Reports
. 2021 Feb 17:22:e928534.
doi: 10.12659/AJCR.928534.

An Unusual Maxillary Sinus Foreign Body: A Case Report

Maeidah A Alrasheed  1 , Mohammed S Alhaddad  2 , Nora A Almuhainy  3 , Abrar A Almohammedali  3
Affiliations
Case Reports

An Unusual Maxillary Sinus Foreign Body: A Case Report

Maeidah A Alrasheed et al. Am J Case Rep. .

Abstract

BACKGROUND Paranasal sinus foreign bodies are rarely encountered in otolaryngology practice. CASE REPORT We present the case of a 32-year-old man who presented to our Emergency Department with his left eye bleeding after a nail gun injury. The initial physical examination revealed the presence of a left eye ruptured globe, which led to left eye blindness. An urgent plain X-ray scan was done, in which the presence of a metallic object impacted in the left maxillary sinus was demonstrated. The patient was managed surgically by an external approach using the Caldwell-Luc procedure, with no intra- or postoperative complications. CONCLUSIONS Paranasal sinus foreign bodies, if improperly treated, can cause serious morbidity. Surgical removal, either endoscopically or through an external approach, is required.

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Conflict of interest statement

Conflict of interest: None declared

Figures

Figure 1.
Figure 1.
Lateral plain X-ray of the head shows abnormal curved radio-opaque shadow (metallic object).
Figure 2.
Figure 2.
CT scan of the sinuses, coronal view, shows a large dense foreign body in the left maxillary sinus.
Figure 3.
Figure 3.
Maxillary antrum opened during Caldwell-Luc procedure shows the foreign body during removal.
Figure 4.
Figure 4.
Foreign body after removal from the maxillary sinus (about 4 cm in length).
See this image and copyright information in PMC

References

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