Endoscopic removal of a foreign body in the ethmoidal region, four years after a penetration injury

The case of a 14-year-old patient with a foreign body in the ethmoidal region is presented. The patient had a penetrating injury 4 years before the initial clinical evaluation. On examination, the patient showed facial asymmetry with a swelling area on the upper left eyelid at the level of the inner cantus. A CT scan showed partial absence of ethmoidal cell lamellae and the anterior wall of the sphenoidal sinus. The maxillary sinus was partially occupied by an ovoid density projecting over its floor. An endoscopic resection of a foreign body was performed. The object was a pencil point of approximately 4 cm. There were no postoperative complications. The patient was discharged from the hospital 2 days after the surgery. The patient was followed for 8 months; there were no further complications.