Foreign bodies in the antrum of Highmore are uncommon, rarely seen entities, being the mouth the most frequent route of entry, especially during dental procedures.Other paths include the cheek, nose and lower ayelid.In the case we report here, a pen gained access to the maxillary antrum through the lower eyelid.A 13-year-old male patient presented to the Oral and Maxillofacial Surgery Department at Hospital Cardiovascular del Niño de Cundinamarca in Soacha, Colombia, with the chief complaint of a broken pen inside the right maxillary antrum.The surgical management of the case and sequelae are described.