Abstract
We report a case of a 45-year-old male who suffered an external orbital injury from a wooden foreign body. Computed tomography showed that the foreign body had penetrated the orbit, lamina papyracea, posterior ethmoid sinuses and reached the bilateral sphenoid sinuses. Endoscopic sinus surgery (ESS) was performed to extract the foreign body. ESS techniques provided a safe and effective approach for extraction of a 70-mm-long and 10-mm-diameter twig with minimal morbidity.