Chronic maxillary sinusitis caused by a foreign body

Case contributed by dr Nerses Nersesyan

Presentation

Symptoms of chronic sinusitis.

Patient Data

Age: 40 years
Gender: Male

CT scan revealed left maxillary sinus opacification and sclerotic thickened bone involving the sinus wall, associated with the presence of a hyperdense linear foreign body extending from the floor of the ipsilateral sphenoid sinus. There was also a discontinuity in the bony segment of the maxillary sinus floor which could attest to the insertion point.

A second smaller fragment is identified in the sphenoid bone.

Almost 6 cm long pencil was extracted during the surgical procedure. 

Case Discussion

The case is a rare example of chronic sinusitis caused by an unusual foreign body. The patient could not remember when the object was inserted and had not had any memory of the event whatsoever. However, he had a history of motor vehicle accident six years before the CT was performed.

The patient underwent surgery extracting a 6 cm pencil from his left maxillary sinus. 

The case is submitted in collaboration with Delfina Dualde Beltrán. 

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