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A long standing foreign body in the ethmoid-a case report
1Ashoka Hospital, 670002 Kannur, Kerala.
Summary
A rare case of a 40-year-old ethmoid sinus foreign body presented with headache after 37 years. This highlights the diagnostic challenges of long-standing sinus foreign bodies.
Area of Science:
- Otorhinolaryngology
- Medical Case Reports
Background:
- Headache is a frequent symptom in Ear, Nose, and Throat (ENT) practice, often misunderstood.
- Foreign bodies in the paranasal sinuses present significant surgical challenges due to complex anatomy.
Purpose of the Study:
- To report an unusual case of a long-standing foreign body in the ethmoid sinus.
- To discuss the presentation of headache as a symptom of a delayed-diagnosis sinus foreign body.
Main Methods:
- Case report presentation.
- Review of clinical presentation and diagnostic considerations for ethmoid sinus foreign bodies.
Main Results:
- A foreign body, present for 40 years in the ethmoid sinus, was identified.
- The patient experienced headache as the primary symptom after 37 years of the foreign body's presence.
Conclusions:
- Long-standing foreign bodies in the ethmoid sinus can remain asymptomatic for decades.
- Delayed presentation of sinus foreign bodies, even after many years, can manifest with symptoms like headache, posing diagnostic difficulties.
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