Removal of unusual, large high-velocity metallic maxillary sinus  foreign bodies by a modified free bone flap technique.
Metallic foreign bodies are rarely found in the maxillary sinus, and usually they have a dental origin.Potential complications related to foreign bodies include recurrent sinusitis, rhinolith formation, cutaneous fistula,chemical poisoning, facial neuralgic pain and even malignancies.Two main surgical approaches are currently used for the removal of foreign bodies in the maxillary sinus: the bone flap and the endoscopic sinus techniques. We are reporting two unusual cases of large high-velocity foreign bodies removed by a modified maxillary lateral antrotomy,with free bone flap repositioning and fixation with a titanium miniplate.
Scolozzi
Paolo
P
Department of Surgery, Hopitaux Universitaire de Geneve,1211 Geneva, Switzerland. scolozzi-paolo@diogenes.hcuge.ch
Momjian
Armen
A
Lombardi
Tommaso
T
D016025:Bone Transplantation / Q000379:methods*; D004724:Endoscopy / Q000379:methods; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000293:injuries*; D008875:Middle Aged; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000601:surgery*; D055815:Young Adult