An Unusual Maxillary Sinus Foreign Body and Its Endoscopic Assisted Removal

Nataraj., Raghuram; Jagade, Mohan; Chavan, Reshma P.; Kar, Rajesh; Pandare, Madhavi; Parelkar, Kartik; Singhal, Arpita; Kulsange, Kiran

doi:10.4236/ijohns.2015.41007

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…When these injuries are not properly explored, retained foreign bodies can lead to sinocutaneous fistulas with non-specific symptoms, such as headaches, nasal obstruction, and intermittent nasal hemorrhage [ 7 ]. When complicated, they may also cause improper drainage of the sinuses, secondary infections and sinusitis, or even inflammation of the dura [ 9 ]. To avoid those detrimental sequelae, a high index of suspicion is required and early removal is recommended.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, these injuries can remain underdiagnosed for years [ 7 ]. So far, removal by a transnasal endoscopic approach is the most preferred treatment option [ 8 , 9 ]. However, this approach might not be efficient in cases of large retained objects and an open technique through the anterior table of the frontal sinus might be necessary.…”

Section: Introductionmentioning

confidence: 99%

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An Endoscopic-Assisted Open Removal of a Retained Foreign Body From Frontal Sinus

Nikolaidou¹,

Karagergou²,

Gougousis³

et al. 2022

Cureus

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Facial penetrating injuries can cause retention of foreign bodies in the frontal sinus. This rare condition can remain underdiagnosed for years, since non-specific symptoms, such as headaches and nasal obstruction, can be developed. So far, removal by an endoscopic approach is the most preferred treatment option because it is less invasive with a short recovery time. However, removal by an open surgical approach remains the method of choice for large foreign bodies, especially in cases of coexistent non-reducible fractures of the anterior table of the frontal bone. We present a case where a combined approach - open and endoscopic - was necessary to successfully remove a retained foreign body from a frontal sinus. With the assistance of a transnasal endoscope, the retained stone was mobilized and removed from the open frontal sinus followed by osteosynthesis of the anterior table. Therefore, in special circumstances, a combination of both techniques should be considered for the optimal outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Endoscopic-Assisted Open Removal of a Retained Foreign Body From Frontal Sinus

Nikolaidou¹,

Karagergou²,

Gougousis³

et al. 2022

Cureus

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“…The traumatic causes can be classified as accidental or iatrogenic [ 7 ]. The presence of pieces of glass [ 8 ], a ballpoint pen [ 9 ], and multiple wood and plastic pieces [ 10 ] are considered accidental causes.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Maxillary Sinus Foreign Body: A Case Report

Alrasheed¹,

Alhaddad

Almuhainy

et al. 2021

Am J Case Rep

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Patient: Male, 32-year-old Final Diagnosis: Foreign body in maxillary sinus Symptoms: Blindness • eye bleeding • eye pain • history of trauma Medication: — Clinical Procedure: Caldwell-Luc Specialty: Otolaryngology Objective: Unusual clinical course 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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“…The most common etiology of intrasinusal foreign bodies is iatrogenic in more than 60% of cases (dental, otorhinolaryngologic and ophthalmic procedures) or accidental in 25% of cases. The most commonly involved is the maxillary sinus (75%), followed by the frontal sinus (18%) 6,7 . Depending on the affected tooth, the most commonly involved is the first molar (22.51%), followed by the second molar (17.21%), the second premolar (2.2%) and the canines in 0.66% of cases.…”

Section: Incidence and Etiopathogenesismentioning

confidence: 99%

Foreign body of endodontic origin in the maxillary sinus

Preda

Sarafoleanu

2021

Romanian Journal of Rhinology

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Displacement of foreign bodies into the maxillary sinus is still a rare pathology, but the incidence is increasing continuously with the development of dental procedures. Most cases of foreign bodies are associated with dental procedures. These can be of varying natures, such as dental implants, fractured teeth roots, endodontic materials and tools, dental burs, dental impression materials or dental fillings materials. Less frequent are the foreign bodies of non-dental origin, which are related to facial injuries in accidents or assaults. The diagnosis is based on careful clinical and radiological examinations. Foreign bodies should be diagnosed and treated on time in order to prevent complications, mainly acute or chronic rhinosinusitis. In this article, we review the main characteristics regarding the incidence, etiology, diagnosis and treatment options – endoscopic and an external approach for the removal of a displaced foreign body into the maxillary sinus. Also, we present our personal experience and treatment options, highlighting the importance of pre-operative evaluation, proper imaging assessment, adequate access and visibility and adequate surgical technique, in order to prevent later sinonasal infectious complications.

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An Unusual Maxillary Sinus Foreign Body and Its Endoscopic Assisted Removal

Abstract: Foreign bodies in maxillary sinuses are uncommon. But the incidence is on a rise. Herewith we present a case of foreign bodies (glass pieces) in left maxillary sinus and bilateral nasolacrimal ducts, which is managed endoscopically.

Cited by 4 publications

References 8 publications

An Endoscopic-Assisted Open Removal of a Retained Foreign Body From Frontal Sinus

An Endoscopic-Assisted Open Removal of a Retained Foreign Body From Frontal Sinus

An Unusual Maxillary Sinus Foreign Body: A Case Report

Foreign body of endodontic origin in the maxillary sinus

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