Removal of orbital-maxillary sinus-pterygopalatine fossa foreign body with external and endoscopic combined approach.

Craniofacial trauma involving the pterygopalatine fossa region is reported to be rare. We present a case of a foreign body involving the orbit, maxillary sinus, and pterygopalatine fossa in a 4-year-old boy. The object was a reed shaft. Three-dimensional computed tomographic scans and magnetic resonance imaging were done to make a correct diagnosis and to apply the best surgical treatment. The Caldwell-Luc approach combined with endoscopic approach was applied to remove all the fragments of the foreign body, which had been decayed in the human body. One month later, the patient showed satisfactory aesthetic and functional results.