INTRODUCTION
There are a limited number of reports in the literature that document
foreign bodies in the paranasal sinus. Additionally, there are limited
reports on the natural clinical course and impact of foreign bodies in
the maxillary sinus.1 Such clinical situations
represent a unique challenge for surgeons. Treatment guidelines about
this uncommon phenomenon are not well established because prospective or
controlled studies are not feasible due to the limited number of
subjects. Guidelines on some factors have been reported by surgeons in
regard to the location of the foreign body, proximity to vital
neurovascular anatomical structures, duration of foreign body impact,
and risk of surgical retrieval.1,2
In this article, we describe an unusual case of a transfacial
penetrating injury with a metallic foreign body (blades of scissors)
that remained asymptomatic for about 40 years and was successfully
removed via an endoscopic approach. Furthermore, we aim to address
issues about management of foreign bodies in the sinonasal cavity to
provide guidance and aid in decision-making and treatment processes.