Surgical Removal of an Unusual Foreign Body (marble ball) in the Maxillary Sinus

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Surgical Removal of an Unusual Foreign Body (marble ball) in the Maxillary Sinus

CK Shim, TL Fam, LWJ Ding, YC Lee, I Rostam, HK Mohd: Surgical Removal of an Unusual Foreign Body (marble ball) in the Maxillary Sinus. Mal. J. Oral Maxillofac. Surg. 2014; 12: 21–25.

Abstract: Cases of foreign bodies in maxillary sinuses are rare. Most causes of foreign bodies in the maxillary sinus are iatrogenic. Most foreign bodies retrieved from maxillary sinuses have some connection with dentistry. In our case report, our patient is a 54- year old Malay male who came with complain of discomfort and laceration wounds on his left face. Radiography investigation presented a well circumscribed radiopacity in the left maxillary sinus. Whatever type of foreign body, even if the patient is asymptomatic, it should be removed to prevent possible chronic infections. Contribution to the profession: Endoscopic sinonasal surgery via a meatotomy is the treatment of choice, as it is less invasive compared to other techniques. However, sometimes intra- oral surgical approaches have to be used because of the size or nature of the foreign body as in the above case. The foreign body as describe in this case report is a marble ball and it is removed with Caldwell Luc technique under local anesthesia successfully