1994 Volume 87 Issue 10 Pages 1379-1382
We recently treated a patient with a penetrating gun shot wound from the posterior part of the left ear to the left maxillary sinus. The patient was a 35-year-old male who had been injured by a bullet entering behind his left ear. X-ray films and CT scans of the paranasal sinuses at the time of the initial examination showed a bullet in the frontal part of the left maxillary sinus. Intracranial damage was not suspected. Treatment was carried out on the same day. The wound behind the left ear was opened, and a Caldwell-Luc operation was performed. The bullet was removed from inside the left maxillary sinus. The patient had slight difficulty in movement of the articulus mandibularis. No abnormality of the cranial nerves, including the facial nerve, was observed, and the patient's recovery after the operation was good.