title: Chronic foreign body of the nasal cavity and sphenoid sinus: surgical implications.
abstract: Chronic sinonasal foreign bodies present unique surgical challenges including tissue integration and anatomic migration. A patient with a history of multiple surgeries for cleft lip, palate, and nasal deformity presented with radiographic findings of a 4.3-cm linear foreign body traversing the nasal cavity and sphenoid sinus. Mucosalization and integration into the sphenoid rostrum were noted at the time of surgery. Endoscopic surgery techniques facilitated removal of the overlying mucosa and encasing bone, allowing successful surgical extraction. On inspection, the foreign body was consistent with a retained Kirschner wire. Potential pathophysiologic and management implications of this case are discussed.
authors.affiliation: New York Eye and Ear Infirmary, Department of Otolaryngology–Head and Neck Surgery, New York, New York, USA.
authors.forename: Ameet
authors.initials: A
authors.lastname: Kamat
authors.forename: Abtin
authors.initials: A
authors.lastname: Tabaee
mesh_terms: D001864:Bone Wires; D004724:Endoscopy; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000000981:diagnostic imaging / Q000601:surgery*; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed