Datarkar Abhay N, Dhawad Madhumati, Deshpande Ajay
Department of Oral and Maxillofacial Surgery, Swargira Dadasaheb Kalmegh Dental College and Hospital, Hingna, Nagpur, 442 002 Maharashtra India.
J Maxillofac Oral Surg. 2015 Mar;14(Suppl 1):96-9. doi: 10.1007/s12663-012-0341-2. Epub 2012 Mar 16.
Cases of foreign bodies in the antrum and nasal cavity are reported in the literature but the size and location of foreign body in this case made it unique and challenging. A large exploded fragment was successfully removed through Lefort I osteotomy approach. Foreign bodies in maxilla and antrum can be removed by different approaches: Caldwell-Luc operation, nasal and antral endoscopic surgery. The foreign body was lying horizontally in posterior maxilla occupying both the maxillary sinuses and nasal cavity. The foreign body was so big in size that the nasal endoscopic approach and Caldwell-Luc operation might be inadequate for its retrieval.
文献中报道过窦腔和鼻腔内异物的病例，但该病例中异物的大小和位置使其具有独特性和挑战性。通过勒福Ⅰ型截骨术成功取出了一块大型爆炸碎片。上颌骨和窦腔内的异物可通过不同方法取出：柯-陆氏手术、鼻内镜和鼻窦内镜手术。异物水平位于上颌骨后部，占据双侧上颌窦和鼻腔。异物体积过大，鼻内镜手术和柯-陆氏手术可能无法将其取出。
