A healthy 37-year-old man presented to the emergency room, complaining
of blunt trauma to his mandible from a tree branch, Plain radiographs
and computed tomography demonstrated a penetrating orbitocranial fore
ign body with the maxillary sinus as the entry site. The foreign body
was a chain-saw file. It was extracted successfully through the oral c
avity. The patient's recovery was uncomplicated and he suffered no neu
rologic or opthalmic sequelae.