A CT scan examination of the head and neck area showed a comminuted fracture of the right anterior and posterior wall of the maxillary sinus, a radiopaque foreign body on the left side of the neck soft tissue level (with a well-defined projectile shape). A discernible, well-defined tract of the projectile was observed, passing through the soft tissues of the naso-oropharynx, posterior to the mandibular ramus without damaging any major blood vessel (Fig. 28.2).

After the thorough work-up, the patient was informed of his situation with the aid of a translator, and informed consent was obtained. Under GA the bullet (Fig. 28.3) was removed from his neck through dissection of the skin in the neck, and the laceration of the soft palate was sutured. There was no need to treat the comminuted maxillary sinus fracture, and it was left for secondary healing.