Elseyoufi M1*, Alrabiaa AH2, Alyami I3 and Elgenghe M4
1Department of Oral and Maxillofacial Surgery, Najran General Hospital, KSA
2Department of Dental, Najran General Hospital, Najran, KSA
3Najran General Hospital, Najran, KSA
4Department of Oral and Maxillofacial Surgery, Cairo University, Egypt
Foreign Bodies (FB) piercing the frontal sinus is infrequently reported in the literature. Cases of foreign body penetration to the frontal sinus possess a special concern because of the close proximity of the dura mater and the frontal lobe to the posterior table of the frontal sinus. This case report presents a rare clinical scenario of an 8-year-old boy who accidentally suffered a traumatic injury and presented with an embedded metallic FB (Scissors) into his forehead. The scissors were penetrating through the anterior table of the frontal sinus reaching just before the posterior table which was not involved as proved by Computerized Tomography (CT). Unexpectedly, the boy has no CT signs of brain injury or focal neurological deficit. CSF leakage was further excluded. Under General Anesthesia (GA), the FB was retrieved using the existing wound of penetration to access the frontal sinus. The sinus was thoroughly explored, and the integrity of the posterior table was confirmed. The outer table fracture was reduced and fixed in place without plating or placing a mesh. Clinically, the patient was stable and had no early postoperative complications. Postoperative CT was auspicious, it showed no fluid collection and assured consistent fixation. No long-term complications were encountered in 6 months of follow-up.
Elseyoufi M, Alrabiaa AH, Alyami I, Elgenghe M. Foreign Body (Scissors) in the Frontal Sinus: A Case Report. Am J Otolaryngol Head Neck Surg. 2023; 6(2): 1227..