Impacted Foreign Body in Frontal Sinus- A Rare Case Report

Popli, Gourav; Dubey, Prajesh; Bansal, Vishal; Bansal, Avi Kumar; Gupta, Tarun; Kapoor, Shalini

doi:10.18535/jmscr/v4i2.61

Cited by 1 publication

(1 citation statement)

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“…The frontal sinus is frequently involved in facial trauma due to its prominent position on the face [ 1 ]. However, penetrating injuries causing retention of foreign bodies in this anatomical region are rare and they usually involve retained gunshot pellets, stones, and glass particles [ 2 - 6 ]. The presence of a foreign body in the frontal sinus can be asymptomatic or accompanied by non-specific symptoms, such as headaches, nasal obstruction, and intermittent nasal hemorrhage [ 7 ].…”

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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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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