CASE PRESENTATION
A 61-year-old man presented at the clinic with a one-year history of foul-smelling nasal drainage and progressive nasal congestion. The physical examination was unremarkable except purulent discharge from the left middle meatus based on nasal endoscopy. Standard radiographs showed a metallic shadow in the left maxillary sinus, as presented inFigure 1 . Computed tomography (CT) scans further demonstrated presence of metallic foreign bodies that looked similar to blades of scissors inside the left maxillary sinus and that were obstructing the middle meatus (Figure 2 A (front) & B (lateral)). History revealed a facial stabbing accident by a senior military officer about 40 years prior. There was a non-notable healed scar at the area of entry.
After precise assessment, the location and direction of the foreign body were determined, and we planned to remove the object with an endoscopic approach; removal via the Cald-well Luc approach was planned as a secondary option. The patient underwent functional endoscopic sinus surgery under general anesthesia, and the stained metallic foreign bodies were successfully removed intranasally (Figure 3 ). The metallic foreign bodies were determined to be rusty blades of scissors (Figure 3 ). There were no postoperative complications during or after the surgery, and the patient noted immediate symptomatic improvement. There were no infectious complications during the follow-up period. The nasal cavity had completely healed after 3 months, and the patient remained asymptomatic without complications.