Methods: Presentation, challenges in the course of investigation and events at surgery of an orbito-antro-pharyngeal foreign body impaction are discussed.
Result: An unusual case of foreign body impaction transecting the right orbit, right antrum and the pharynx is presented. The inability of both Computed Tomographic scan and Ultra Sound scan to identify the path and relations of the impacted foreign body were also discussed.
Conclusion: Computed Tomography and Ultrasonography may not be sufficient to delineate the path and relations of an impacted foreign body especially if the nature of the foreign body is not metallic. In retrospect, the authours are of the opinion that a Magnetic Resonance Imaging (MRI) may have been more beneficial in this case.
Keywords: Foreign body impaction, Computed Tomography scan, Ultra Sound scan.