HighlightsThe mode of entry of the foreign body was unique as well as the force required to impale and break a knife blade in bone.The authors present a minimally invasive technique for dealing with this type of injury and highlight its challenges.This case report emphasis the need for baseline radiology in cases of traumatology especially those with vague history.The patient was examined by multiple physicians who did not detect the foreign body which could raise medico-legal issues.

HighlightsCut wounds in the face, should be repaired after proper investigations.Trismus following trauma should be managed seriously.Removal of a foreign body from the maxillofacial region should be managed with Multidiscplinary team approach.