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This report describes the case of a 12-year-old female who presented with a displaced maxillary third molar crown into the left maxillary sinus following dental extraction. This displacement resulted in acute orbital cellulitis, which was initially managed with oral antibiotic therapy. Endoscopic endonasal retrieval of the foreign body 4\u2009months later was recommended after the initial infection was treated to reduce the risk of recurrent orbital and\/or sinonasal infections. Surgical planning incorporated intraoperative navigation with existing cone beam computed tomography to minimize radiation exposure. The procedure was successful with no perioperative complications. This case highlights the importance of prompt recognition, careful surgical planning, and utilization of minimally invasive approaches to optimize outcomes while minimizing craniofacial morbidity in pediatric patients.<\/jats:p>","DOI":"10.1177\/01455613251386783","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T10:45:22Z","timestamp":1761302722000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Retrieval of Displaced Maxillary Third Molar Crown: A Pediatric Endonasal Approach"],"prefix":"10.1177","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1957-7892","authenticated-orcid":false,"given":"Bastien A.","family":"Valencia-Sanchez","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Mayo Clinic in Florida, Jacksonville, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor B.","family":"Hsue","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelby C.","family":"Leuin","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, Rady Children\u2019s Hospital, San Diego, CA, USA"},{"name":"Department of Otolaryngology, Head and Neck Surgery, University of California San Diego, La Jolla, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9324-3180","authenticated-orcid":false,"given":"Vijay A.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, Rady Children\u2019s Hospital, San Diego, CA, USA"},{"name":"Department of Otolaryngology, Head and Neck Surgery, University of California San Diego, La Jolla, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-024-05845-6"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.100271"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2018.02.001"},{"key":"e_1_3_2_5_2","unstructured":"Brauer HU. 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