An International Journal Clinical Rhinology

Register      Login

VOLUME 3 , ISSUE 1 ( January-April, 2010 ) > List of Articles

CASE REPORT

Late Presentation of Transorbital Maxillary Sinus Foreign Body

C Ekambar E Reddy, Ajay Jain

Keywords : complications,Foreign body,maxillary sinus,transorbital

Citation Information : Reddy CE, Jain A. Late Presentation of Transorbital Maxillary Sinus Foreign Body. Clin Rhinol An Int J 2010; 3 (1):45-47.

DOI: 10.5005/jp-journals-10013-1027

Published Online: 00-04-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

We describe an unusual case where we found a broken pen 20 years after trauma causing cicatricial ectropion and mimicking osteomyelitis.

Methods

Case reports

Results

A 60-year-old male presented with 6 months history of epiphora and cheek hypoesthesia after a 3 months old discharging sinus had healed causing cicatricial ectropion of left lower eyelid. He also gave history of road traffic accident 20 years ago with injury at the same site that had healed. Clinical diagnosis of maxillary sinus osteomyelitis was made and computerized tomographic (CT) scan revealed a suspicious foreign body extending from the orbit into the maxillary sinus. Infraorbital incision and endoscopic approach were used to remove the 4 cm long broken pen.

Conclusion

Penetrating injuries, however trivial they may appear, need to be investigated further with a CT scan to detect foreign bodies early and prevent late complications.


PDF Share
  1. Foreign body in the periradicular area. J Endod 2001;27:593-94.
  2. Computed tomography in the management of orbital trauma. Ophthalmol 1982;89:433-40.
  3. Unusual delayed sequel to facial trauma. Oral Surg Oral Med Oral Pathol 1993;75:264.
  4. An unusual case of orbital trauma with a large foreign body in the maxilla. Br J Plastic Surg 1999;52:507-08.
  5. Transorbital penetrating injury of the paranasal sinuses. J Laryngol Otol 1998;112:1202-04.
  6. Craniofacial ballpoint pen injury: Endoscopic management. Ann Otol Rhinol Laryngol 2000;109:119-22.
  7. Unusual orbital foreign bodies. Ind J Ophthalmol 1993;41:125-27.
  8. Lead poisoning in a child after a gunshot injury. J Fam Pract 1992;34:498-504.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.