PMC3420515_01
CT scan showing the foreign body in the left maxillary sinus.
CRIM.OTOLARYNGOLOGY2012-903714.001.jpg
PMC3420515_01_CRIM.OTOLARYNGOLOGY2012-903714.001.jpg
fig1
CT scan revealed sinus opacification with the presence of a foreign body in the left maxillary sinus extending from the floor of the sinus to the orbital base. (Figure 1) There was also a discontinuity in the bony segment of the sinus floor, but there was no sign of fistula since the connection between maxillary sinus and oral cavity was interrupted by soft tissues.
Removal of the wooden toothpick.
CRIM.OTOLARYNGOLOGY2012-903714.002.jpg
PMC3420515_01_CRIM.OTOLARYNGOLOGY2012-903714.002.jpg
fig2
Toothpick was removed with the help of a forceps. (Figures 2(a)-2(f)) We checked oral cavity again for an oroantral fistula during surgery, but still there was no interruption in the oral mucosa which may suggest a fistula.