{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:29:02Z","timestamp":1790702942199,"version":"4.1.0"},"reference-count":20,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,28]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>A 22-year old construction worker was shot with a fishing harpoon gun on the left side of his face. He consulted at the emergency room 12 days postinjury, stable but with blurring of vision on the right. The shaft of the harpoon was protruding at the left preauricular area; the tip was neither visible nor palpable. Craniofacial CT scan and skull anteroposterolateral radiographs revealed the tip of the harpoon to be at the right orbital apex. A hook attached 1 cm from the tip was lodged in the sphenoid sinus. The hook was dismantled from the shaft via a combined external and endoscopic transnasal approach, enabling the shaft to be gently pulled. The hook, together with the tip, were removed endoscopically. The patient\u2019s visual acuity improved. He was discharged after 2\u2009days on oral antibiotics with no deficits on follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2020-239055","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T11:18:55Z","timestamp":1621509535000},"page":"e239055","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Combined external and endoscopic transnasal approach with use of a diamond burr in the removal of a fishing harpoon hook traversing bilateral sphenoid sinuses in a 22-year-old man"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8866-1783","authenticated-orcid":false,"given":"Jan Alexeis","family":"Lacuata","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes","family":"Tirona - Remulla","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arsenio Claro","family":"Cabungcal","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romiena Mae","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,20]]},"reference":[{"key":"2025082800542178000_14.5.e239055.1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.8.985"},{"key":"2025082800542178000_14.5.e239055.2","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/S0278-2391(97)90458-4","article-title":"Maxillofacial spear gun accident: report of two cases","volume":"55","author":"Alper","year":"1997","journal-title":"J Oral Maxillofac Surg"},{"key":"2025082800542178000_14.5.e239055.3","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/s10006-009-0177-1","article-title":"Unusual fishing harpoon injury of the maxillofacial region in a child","volume":"13","author":"Ribeiro","year":"2009","journal-title":"Oral Maxillofac Surg"},{"key":"2025082800542178000_14.5.e239055.4","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/S1130-1473(11)70025-2","article-title":"Traumatismo craneal perforante POR arp\u00f3n de pesca. 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