面部穿透伤是经常发生的 ,枪弹伤和刺伤占多数 ,上颌窦、筛窦及眼眶是特别易遭受外伤的危险部位。面部枪弹伤偶尔累及额窦和蝶窦。报告 1例小孩遭受一支圆珠笔从眼眶外刺入并穿透眼眶 ,纸样板 ,后组筛窦和蝶窦 ,经 CT定位后行鼻窦内窥镜手术取出圆珠笔头。患儿为 2 2个月男孩因 Facial penetrating injuries are frequent, bullet wounds and stab wounds account for the majority, maxillary sinus, ethmoid sinus and orbital are particularly vulnerable to traumatic risk sites. Facial gunshot wounds occasionally affect the frontal and sphenoid sinus. One child was reported with a ballpoint pen penetrating the orbit and penetrating the orbit, the paper model, the posterior ethmoid sinus and the sphenoid sinus, and a CT scan was performed to remove the ballpoint pen tip after endoscopic sinus surgery. Children with 2 2 months due to