Endoscopic management of retained airgun projectiles in the paranasal sinuses.
OBJECTIVE
This article presents 3 cases to illustrate the appropriate management of airgun injuries with retained projectiles in the paranasal sinuses. The indications, techniques, and potential complications of removal of these foreign bodies from the paranasal sinuses are discussed.


METHODS
We conducted a case series consisting of 3 patients and a review of the literature.


METHODS
Three consecutive patients who sustained airgun injuries to the face with retained bullets in the paranasal sinuses are presented. Projectiles were present in the maxillary, ethmoid, and sphenoid sinuses. The literature pertaining to this subject is reviewed.


RESULTS
All retained projectiles were removed endoscopically without complications. Stereotactic guidance was used in 2 cases.


CONCLUSIONS
Airgun injuries to the paranasal sinuses are relatively uncommon. Projectiles can safely be removed using endoscopic techniques in selected cases. When possible, foreign bodies in the paranasal sinuses should be removed to prevent long-term sequelae.
Brinson
George M
GM
Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of medicine, Chapel Hill, 27599-7070, USA. brinson@med.unc.edu
Senior
Brent A
BA
Yarbrough
Wendell G
WG
D000059:Accidents; D000293:Adolescent; D002648:Child; D004724:Endoscopy; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D010256:Paranasal Sinuses / Q000000981:diagnostic imaging / Q000293:injuries*; D010988:Play and Playthings; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed