Bullet in ethmoid sinuses

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

History of gun bullet injury 6 month ago.

Patient Data

Age: 35 year
Gender: Male
ct

Bullet at anterior ethmoid air cells level above middle nasal turbinates obstructing the ostium of right maxillary sinus and focal bulging/destruction of inferior medial wall of the right orbital cavity.
Other dense triangular shaped structure inferior to left inferior nasal concha

Case Discussion

A strange case of war victim.

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