Arch Craniofac Surg.  2019 Jun;20(3):195-198. 10.7181/acfs.2018.02362.

A 30-year neglected foreign body mimicking a maxillary fracture

• Lee WS
• Park ES
• Kang SG
• Tak MS
• Kim CH

• KMID: 2453153
• DOI: http://doi.org/10.7181/acfs.2018.02362

Abstract

A-50-year-old male patient presented with complaint of tenderness on the left malar area after traffic accident. Our first impression on him was zygomatic fracture, we did radiologic work-up and physical examination on him. But, on the computed tomography scan, there was no fracture or discontinuity on his facial bone. The computed tomography scan was revealed a 4-cm long foreign body in left maxillary sinus with a large amount of fluid collection. After thorough history taking from him, we reveal the patient had a history of trauma 30 years back on the left zygomatic area with a chopstick. The foreign body was removed via transoral approach with the endoscopic assist. There was no complication after operation.

Keyword

Foreign bodies; Maxilla; X-ray computed tomography

MeSH Terms

Accidents, Traffic
Facial Bones
Foreign Bodies*
Humans
Male
Maxilla
Maxillary Fractures*
Maxillary Sinus
Physical Examination
Tomography, X-Ray Computed
Zygomatic Fractures