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An Unusual Maxillary Sinus Foreign Body: A Case Report

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

DOI: 10.12659/AJCR.928534

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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