Endoscopic management of retained airgun projectiles in the paranasal sinuses.

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.