Unusual foreign body in mid face.

Cases of foreign bodies in the antrum and nasal cavity are reported in the literature but the size and location of foreign body in this case made it unique and challenging. A large exploded fragment was successfully removed through Lefort I osteotomy approach. Foreign bodies in maxilla and antrum can be removed by different approaches: Caldwell-Luc operation, nasal and antral endoscopic surgery. The foreign body was lying horizontally in posterior maxilla occupying both the maxillary sinuses and nasal cavity. The foreign body was so big in size that the nasal endoscopic approach and Caldwell-Luc operation might be inadequate for its retrieval.