Korean J Otolaryngol-Head Neck Surg.  2004 Feb;47(2):177-181.

A Case of Metallic Foreign Body Retained in the Naso-Maxillo-Ethmoido-Orbital Complex

  • 1Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea. ydrhinol@yumc.yonsei.ac.kr
  • 2Brain Korea 21 Project for Medical Science, Seoul, Korea.


The foreign bodies in the nasal cavity are rare diseases and mostly traumatic in origin. These foreign bodies result in pain, bleeding, and infection and are immediately removed in most cases. However, the foreign body without serious symptoms can remain for several years without treatment. Recently we experienced the penetrating metallic foreign body retained in the nasal cavity over 30 years and complicating orbital abscess. The foreign bodies were two pieces of broken metallic chopsticks. One piece was retained in both ethmoid sinuses and the septum and another in the naso-maxillo-orbital cavity resulting in orbital abscess. The foreign bodies were removed successfully with nasal endoscope, sublabial approach and lower eyelid approach to the orbit without rhino-ophthalmological sequelae.


Foreign bodies; Nasal cavity; Maxillary sinus; Orbit
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