Penetrating injuries of the paranasal sinuses due to foreign bodies are rare, especially as a result of a traffic accident. Here we report a patient with a ballpoint pen lodged in his left eye following a traffic accident. The pen extended from the medial aspect of the left orbit, through the left ethmoid sinus and the nasal septum, to the right sphenoid sinus. We removed the pen uneventfully using endoscopic sinus surgery. There are no similar reports in the English literature and we therefore present this case because of its rarity.

Necrosis of the tongue is an uncommon clinical finding because the tongue is highly vascular and well supplied from the right and left lingual arteries. Temporal arteritis is the most common cause of necrosis of the tongue. 1 Cases of necrosis of the tongue have been reported sporadically. [2][3][4] Herein we report a case of necrosis over one half of the tongue in a patient with buccal cancer as a complication of intraarterial chemotherapy.