Foreign Body in Paranasal Sinus: A Late Clinical Presentation

The occurrence of foreign bodies in paranasal sinuses is extremely rare. The symptoms are vague and usually discovered after extra/intracranial complications. They may, therefore, go unnoticed if there isn’t a strong clinical suspicion. We present a clinical case of a 64-year-old woman with a parana...

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Main Authors: Francisco Monteiro, Pedro Oliveira, Artur Condé
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2019/4386938
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author Francisco Monteiro
Pedro Oliveira
Artur Condé
author_facet Francisco Monteiro
Pedro Oliveira
Artur Condé
author_sort Francisco Monteiro
collection DOAJ
description The occurrence of foreign bodies in paranasal sinuses is extremely rare. The symptoms are vague and usually discovered after extra/intracranial complications. They may, therefore, go unnoticed if there isn’t a strong clinical suspicion. We present a clinical case of a 64-year-old woman with a paranasal sinus microsurgery history more than 30 years ago, who presented with headache and purulent rhinorrhea. A glass tubular structure was discovered in the ethmoid complex. She underwent functional endoscopic sinus surgery. Since glass is an inert material that doesn’t cause foreign body reaction, the patient may not present any symptom or sign. However, if there is obstruction in the drainage of the ostiomeatal complex, it can manifest itself as rhinosinusitis, which we believe happened in our case. To the best of our knowledge, this is probably the first reported case of a glass removed from the ethmoidal sinuses, diagnosed with more than 30 years of evolution.
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spelling doaj-art-5afadc9ce2c94707ad7c06cd3103aed42025-02-03T01:12:57ZengWileyCase Reports in Otolaryngology2090-67652090-67732019-01-01201910.1155/2019/43869384386938Foreign Body in Paranasal Sinus: A Late Clinical PresentationFrancisco Monteiro0Pedro Oliveira1Artur Condé2Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Center of Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, S/N, 4434-502 Vila Nova de Gaia, PortugalDepartment of Otorhinolaryngology, Head and Neck Surgery, Hospital Center of Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, S/N, 4434-502 Vila Nova de Gaia, PortugalDepartment of Otorhinolaryngology, Head and Neck Surgery, Hospital Center of Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, S/N, 4434-502 Vila Nova de Gaia, PortugalThe occurrence of foreign bodies in paranasal sinuses is extremely rare. The symptoms are vague and usually discovered after extra/intracranial complications. They may, therefore, go unnoticed if there isn’t a strong clinical suspicion. We present a clinical case of a 64-year-old woman with a paranasal sinus microsurgery history more than 30 years ago, who presented with headache and purulent rhinorrhea. A glass tubular structure was discovered in the ethmoid complex. She underwent functional endoscopic sinus surgery. Since glass is an inert material that doesn’t cause foreign body reaction, the patient may not present any symptom or sign. However, if there is obstruction in the drainage of the ostiomeatal complex, it can manifest itself as rhinosinusitis, which we believe happened in our case. To the best of our knowledge, this is probably the first reported case of a glass removed from the ethmoidal sinuses, diagnosed with more than 30 years of evolution.http://dx.doi.org/10.1155/2019/4386938
spellingShingle Francisco Monteiro
Pedro Oliveira
Artur Condé
Foreign Body in Paranasal Sinus: A Late Clinical Presentation
Case Reports in Otolaryngology
title Foreign Body in Paranasal Sinus: A Late Clinical Presentation
title_full Foreign Body in Paranasal Sinus: A Late Clinical Presentation
title_fullStr Foreign Body in Paranasal Sinus: A Late Clinical Presentation
title_full_unstemmed Foreign Body in Paranasal Sinus: A Late Clinical Presentation
title_short Foreign Body in Paranasal Sinus: A Late Clinical Presentation
title_sort foreign body in paranasal sinus a late clinical presentation
url http://dx.doi.org/10.1155/2019/4386938
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AT pedrooliveira foreignbodyinparanasalsinusalateclinicalpresentation
AT arturconde foreignbodyinparanasalsinusalateclinicalpresentation