Background: Retained bullet fragments in the paranasal sinuses are rare especially in Australia. Management of these cases is based on symptoms and surgical risks. Case 1: A 52-year-old man presented to emergency with severe epistaxis post gunshot injury in the face resulting internal maxillary artery pseudoaneurysm in 2015. Several bullet fragments and embolisation coils was left in the right maxillary sinus. He developed chronic sinusitis years after which did not respond to medical management. Endoscopic sinus surgery was performed. His symptoms improved and follow-up endoscopy showed healthy mucosa. Case 2: A 60-year-old woman sustained gunshot injury during the Turkish civil conflict in 1976. A CT brain scan in 2024 incidentally showed a 13 mm metal fragment inside the right sphenoid sinus. She had no sinus symptoms. Flexible nasal endoscopy was performed in 2025 demonstrated no signs of infection or skull base defect. She was managed conservatively without surgical intervention. Discussion: These cases show how foreign bodies in the sinuses can behave very differently. Some cause ongoing inflammation and need surgery whereas others can remain asymptomatic which surgery may not be indicated. Each case needs individualised approach. The decision to operate depends on symptoms, location, and nearby structures such as major vessels or nerves. Conclusion: Foreign bodies in the sinuses can stay silent or lead to chronic problems. Careful evaluation and long-term follow-up are important to guide treatment safely. Reference: Yarlagadda, B., Jalisi, S., Burke, P. and Platt, M., 2012. Retrieval of projectile foreign bodies from the paranasal sinuses and skull base. American Journal of Rhinology & Allergy, 26(3), pp.233-236. Hara, Y., Shiratsuchi, H., Tamagawa, T., Koshi, R., Miya, C., Nagasaki, M., Ohyama, T., Oka, S., Sakashita, H. and Kaneko, T., 2018. A large-scale study of treatment methods for foreign bodies in the maxillary sinus. Journal of oral science, 60(3), pp.321-328.