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A 62-years-old male patient had complained of otorrhea and hearing loss in his right ear without any other symptoms. He was shot in the left cheek by a machine gun at the age of 22 during World War II. At that time, his army surgeon suggested that the foreign body went into the sphenoid sinus through the maxillary cavity, but treatment was aimed at the trismus only. Thereafter, he had not had any trouble in his life. Twenty-three after this accident, otorrhea, hearing loss, and disturbance of vision on the right side developed. In 1965, he under went an operation at a national hospital to remove the bullet, but extraction was not successful. Since then, he did not wish to have another surgical operation at any other hospital. He had been treated for otitis media chronica sinistra only. On May 28, 1981, while sleeping he spit out the bullet which was enclosed in granulation. The literature was searched for reports of other foreign bodies in the sinuses were in literature and they are summarized in this paper. This case is interesting in that a foreign body in the sphenoid sinus remained as body as almost 40 years, and was spontaneously expelled through the mouth.

Spontaneous Expulsion of a Machine Gun Bullet from the Sphenoid Sinus after 40 Years