HomePhilippine Journal of Otolaryngology Head and Neck Surgeryvol. 29 no. 2 (2014)

Transorbital Removal of Foreign Body in the Sphenoid Sinus

Daniel Jose C. Mendoza, Md | Antonio H. Chua, Md | Samantha S. Castañeda, Md

 

Abstract:

Objectives: To report a case of foreign body lodged within the sphenoid sinus and its extraction.
Methods:
Design: Case Report
Setting: Tertiary Government Hospital
Patient: One
Results: An 11-year-old girl was hit in the eye by an unknown object from an improvised slingshot. She had loss of vision of the left eye and headache without loss of consciousness. A plain craniofacial Computed Tomography (CT) scan showed a round opaque foreign body abutting the left sphenoid sinus, left posterior ethmoid cells and medial aspect of the left orbital region with adjacent soft tissue densities extending into the apparently ruptured, irregular left globe. The left posterior part of the lamina papyracea was not visualized probably fractured or ruptured. Transorbital enucleation of the left eye and endoscopy-assisted removal of the foreign body (a glass marble) were performed with no intra – operative and post – operative complications.

Conclusion: Foreign body of the sphenoid sinus is a rare condition. Adequate imaging is important for localization and planning the optimal surgical approach. Endoscopic guidance may aid in extraction.