Penetrating maxillofacial trauma with transmaxillary migration of a metallic foreign body to the sphenoid sinus: A rare case.
Emrah Isiktekin
✦ AI-curated · Sources linked
Case in brief
A 19-year-old male presented with headache and fatigue two days after sustaining a right malar injury during agricultural work. Initial treatment involved suturing without advanced evaluation. Clinical examination revealed bilateral periorbital swelling and right subconjunctival hemorrhage. Imaging identified a crescent-shaped metallic foreign body in the sphenoid sinus, necessitating surgical removal via a transmaxillary approach. The patient recovered post-surgery.
What made this case unusual
The metallic foreign body had migrated transmaxillary into the sphenoid sinus, a rare occurrence in maxillofacial trauma.
Diagnostic / clinical pearl
Clinicians should conduct thorough evaluations and imaging in facial trauma cases, as seemingly minor injuries can conceal significant complications.
Why it matters
This case highlights the risks associated with inadequate assessment and the potential for serious outcomes when managing facial lacerations.