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ISSN: Print -2349-0977, Online - 2349-4387
SPECIAL REPORT: OTORHINOLARYNGOLOGY
Year : 2014  |  Volume : 1  |  Issue : 2  |  Page : 89-92

Foreign bodies in maxillary sinus: Causes and management


Department of Otorhinolaryngology, University College of Medical Sciences, GTB Hospital, Delhi, India

Correspondence Address:
Dr. Shilpi Agarwal
J-3/183 Rajouri Garden, New Delhi - 110 027
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2349-0977.137851

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Foreign bodies in maxillary sinus, whatever their origin or nature, are unusual. However unilateral unexplained chronic rhinosinusitis should arouse clinical suscipicion. The diagnosis is based on radiological findings. The range of such foreign bodies is wide; those of dental origin such as tooth roots, burs, dental impression material, root-filling materials, dental implants, and needles take precedence over all others, but rarely, they may relate to blast injuries and penetrating objects. This special report highlights the unusual case of a pressure cooker nozzle lodged in maxillary sinus of a 28-year-old female who suffered a facial injury caused by explosion of a pressure cooker at home. The acuteness of the event and the flight of the foreign body were such that neither the casualty felt the ingress of foreign body nor was the diagnosis entertained by the surgeon who first examined her. Each blast injury therefore must be thoroughly evaluated for such possibility. While a radiological examination can clinch the diagnosis, treatment lies in endoscopic or surgical foreign body removal, with Caldwell luc procedure being a preferred technique.


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