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Foreign body in the ethmoid sinus

P S Murthy1, J S Sahota, D R Nayak

  • 1Ears Unit, Kasturba Medical College and Hospital, Manipal, Karnataka, India.

International Journal of Oral and Maxillofacial Surgery
|April 1, 1994
PubMed
Summary
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A 1-year-old child had an air gun pellet lodged in the posterior ethmoid sinus. Functional endoscopic sinus surgery successfully removed the pellet, avoiding a more invasive external ethmoidectomy.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Medical Device Technology

Background:

  • Foreign body ingestion and aspiration are common in pediatric patients.
  • The ethmoid sinuses, located deep within the skull base, present unique challenges for surgical access.
  • Air gun pellet injuries, though rare, can lead to significant morbidity if not managed promptly.

Observation:

  • A 1-year-old child presented with a posterior ethmoid sinus foreign body.
  • The foreign body was identified as an air gun pellet.
  • Radiological imaging confirmed the pellet's precise location within the posterior ethmoid sinus.

Findings:

  • Functional endoscopic sinus surgery (FESS) was successfully employed for pellet removal.
  • The minimally invasive FESS approach allowed for complete extraction of the foreign body.

Related Experiment Videos

  • No external ethmoidectomy was required, highlighting the efficacy of the endoscopic technique.

    • Implications:

    • This case demonstrates the feasibility and safety of FESS for removing deep-seated sinus foreign bodies in infants.
    • Endoscopic techniques offer a less invasive alternative to traditional open surgeries for complex pediatric sinus foreign bodies.
    • Prompt diagnosis and surgical intervention are crucial to prevent complications such as infection or damage to surrounding structures.