TY - JOUR ID - 118002 TI - Endoscopic-assisted Removal of an Impaled Rebar through the Face: a Case Report JO - Canon Journal of Medicine JA - CJM LA - en SN - 2676-5446 AU - Jafari, Mehrdad AU - Tavakolnejad, Fatemeh AU - Kia, Sahand AU - Sharouny, Hadi AD - Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, IR Iran Y1 - 2023 PY - 2023 VL - 4 IS - 3 SP - 71 EP - 73 KW - Foreign Bodies KW - Paranasal sinuses KW - Transanal Endoscopic Surgery DO - 10.30477/cjm.2019.118002 N2 - Introduction: When a foreign body (FB) traverses or penetrates a body cavity or extremity is called impalement injury. Impalement injuries to the craniofacial region are rare. Surgical approaches should be chosen according to the patterns, mechanisms, materials of the injury, and adjacent vital structures. Current case report aimed to introduce endoscopic- assisted approach as a novel technique in removing penetrating foreign body of the orbit and paranasal sinuses.Case Presentation: A thirty-year-old man was brought to the emergency department with a rebar penetrated into his left side of his face just superior to his orbital rim, through the orbit, adjacent to medial canthus. Computed tomography scan showed a metallic rod extending from area near medial canthus up to pterygoid plates. Patient underwent endoscopic assisted surgery under general anesthesia. After releasing of the rebar endoscopically, it was pulled out from the proximal portion.Conclusion: Endoscopic-assisted surgery is a useful and novel approach in removing impacted FBs in PNS, particularly the FBs adjacent to arterial or venous plexus, dura, and the orbit. UR - https://www.canonjm.com/article_118002.html L1 - https://www.canonjm.com/article_118002_874cb1122076385161e54d2a16431422.pdf ER -