Remoção de projétil de arma de fogo em seio maxilar

Abstract

Gunshot injuries cause serious problems to the maxillofacial complex, especially when extensive injuries, comminuted fractures and retention of projectiles are involved. The maxillary sinus is the largest of the paranasal sinuses and the most affected by injuries. Foreign bodies inside are unusual occurrences, usually caused by penetrating trauma or iatrogenic conditions. Caldwell-luc approach to the maxillary sinus is largely suggested and used, because it is a simple technique and provides good visualization and good inspection. CASE REPORT: Patient injured by firearm, with entrance hole in right hemi face near the wing of the nose, with no exit hole; presented in the computed tomography, a retained bullet in the left maxillary sinus. Caldwell-luc approach was used for exploration of the maxillary sinus, projectile removal and copious washing of the sinus. RESULTS: Surgical removal was satisfactory and conservative. The patient progressed without complications because of the injury or the treatment performed. CONCLUSION: It is essential that the choice by the removal or not of the foreign body, using a surgical or conservative approach, take into account clinical, surgical and anatomical criteria, to bring resolution to the case with patient safety