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| Year : 1983 | Volume
: 29
| Issue : 1 | Page : 45 |
Air gun pellet in the sphenoid sinus. (A case report).
Ogale SB, Wagh SP, Karnik PP
How to cite this article:
Ogale S B, Wagh S P, Karnik P P. Air gun pellet in the sphenoid sinus. (A case report). J Postgrad Med 1983;29:45 |
An unusual case of a foreign body (air gun pellet) in the left sphenoid sinus is being reported. This was removed transnasally.
A 3 year old girl was referred to us by the ophthalmology unit for an accidental air gun injury to the left lower eyelid with no evidence of a foreign body in the orbit. On examination, the child was found to have a puncture wound just below the left lower eyelid, with chemosis and congestion of the eye [Fig. 1]. Pupils reacted well to light and the vision was normal. Some blood clots were seen in the left nostril. X-rays of the skull both in the antero-posterior and lateral views showed a radio-opaque foreign body in the region of the anterior wall of the sphenoid sinus, just above the roof of the nasopharynx [Fig. 2] and [Figure - 3].
A trans-nasal exploration was done on 2nd April, 1981 under general anaesthesia. The middle turbinate was fractured laterally, to approach the anterior wall of the sphenoid sinus, with the help of a small St. Clair Thompson-s nasal speculum. The shiny appearance of the foreign body came into view and it was removed by a nasal dressing forceps [Fig. 4]. Minimal oozing of blood was controlled by nasal packing. The pack was removed after 24 hours. The patient had an uneventful recovery.
On follow-up, the patient's left eye was near normal. The healing of the wound was good.
A foreign body (air gun pellet) in the sphenoid sinus has been removed from a 3 year old girl trans-nasally. So far, such a type of foreign body has not been reported in literature.
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