Endoscopic Management of Retained Airgun Projectiles in the Paranasal Sinuses

Abstract

OBJECTIVES/HYPOTHESIS: This article presents 3 cases to illustrate the appropriate management of airgun injuries with retained projectiles in the paranasal sinuses. The indications, techniques, and potential complications of removal of these foreign bodies from the paranasal sinuses are discussed. STUDY DESIGN: We conducted a case series consisting of 3 patients and a review of the literature. METHODS: Three consecutive patients who sustained airgun injuries to the face with retained bullets in the paranasal sinuses are presented. Projectiles were present in the maxillary, ethmoid, and sphenoid sinuses. The literature pertaining to this subject is reviewed. RESULTS: All retained projectiles were removed endoscopically without complications. Stereotactic guidance was used in 2 cases. CONCLUSIONS: Airgun injuries to the paranasal sinuses are relatively uncommon. Projectiles can safely be removed using endoscopic techniques in selected cases. When possible, foreign bodies in the paranasal sinuses should be removed to prevent long-term sequelae.