Endoscopic removal of air gun pellet in the sphenoid sinus. The objective: The presence of an isolated foreign body in the sphenoid sinus is a rare finding, and a retained projectile in this sinus is even more uncommon. Case report: The authors report the case of a 15-year-old male that was shot in the face with an air gun but was nevertheless able to seek for medical help. The anatomical considerations of the gunshot injury are made, and radiological assessment of the foreign body is presented. The result and Conclusion: The projectile could be successfully removed with an endoscopic technique, no short or long term sequelae occurred.