Unusual clinical course, Diagnostic / therapeutic accidents, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)
Maeidah A. Alrasheed, Mohammed S. Alhaddad, Nora A. Almuhainy, Abrar A. Almohammedali
Department of Otolaryngology, Aljaber Hospital for Eyes, Nose, Ears and Throat, Alahsa, Saudi Arabia
Am J Case Rep 2021; 22:e928534
Available online: 2021-01-05
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.
Keywords: Foreign Bodies, Maxillary Sinus, Paranasal Sinuses