CASE PRESENTATION
A 61-year-old man presented at the clinic with a one-year history of
foul-smelling nasal drainage and progressive nasal congestion. The
physical examination was unremarkable except purulent discharge from the
left middle meatus based on nasal endoscopy. Standard radiographs showed
a metallic shadow in the left maxillary sinus, as presented inFigure 1 . Computed tomography (CT) scans further demonstrated
presence of metallic foreign bodies that looked similar to blades of
scissors inside the left maxillary sinus and that were obstructing the
middle meatus (Figure 2 A (front) & B (lateral)). History
revealed a facial stabbing accident by a senior military officer about
40 years prior. There was a non-notable healed scar at the area of
entry.
After precise assessment, the location and direction of the foreign body
were determined, and we planned to remove the object with an endoscopic
approach; removal via the Cald-well Luc approach was planned as a
secondary option. The patient underwent functional endoscopic sinus
surgery under general anesthesia, and the stained metallic foreign
bodies were successfully removed intranasally (Figure 3 ). The
metallic foreign bodies were determined to be rusty blades of scissors
(Figure 3 ). There were no postoperative complications during or
after the surgery, and the patient noted immediate symptomatic
improvement. There were no infectious complications during the follow-up
period. The nasal cavity had completely healed after 3 months, and the
patient remained asymptomatic without complications.