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Try a slim jim first, down the side of the window. Or AAA or locksmith. If no luck, remove the seat first. Find the screws and bolts around the door handle and arm rest. Most Ford's have screws around the outer side of the panel. I don't believe your's does. The panel lifts or pops off. Once the panel is off, you can reach down and open the door. Just a note. I have done some to where the panel came out in pieces.
have a look to see if its coiled in twisted as you pull the belt out if the buckledoesn't line straight to the female end well its probelyretracted in twisted to repair pull the belt out all the way and then realign the belt its quite hard to do so take your time hope this helps.
OK - So I have a 2004 Sienna and the drivers seat had a twisted seat belt. To make matters worse it was fully extended and I could not straighten it. Here are the steps I took to get it corrected.
I took off the handle to the sliding door. There are 2 small panels on the handle that can gently be removed with a flat head screwdriver. Once exposed you will see 2 torx bolts. If you have that tool, great. If not you can use a small flat head to unscrew the bolts. This removes the handle
Next use your flat head screwdriver to 'pop' off the bottom center section of plastic (the piece that has the auto door button). The side closest to the sliding door will have a plastic 'snap' that will come out and that will allow enough room to get to the other plastic snap...these come out easily but be careful they don't drop to the bottom. Once unsnapped you will have access to the top plastic center section (where the seat belt is located)
There is another plastic 'snap' close to the sliding door. Unfastening this side will allow enough space for you to access the drivers side and use a 10mm socket to remove the bolt holding that in place. Once out I was able to get both hands on the seat belt & it was easily corrected.
I adjusted the slide to its highest position since that is the way the passenger side is and we have never had an issue with that side.
Put all pieces back in reverse order & you are done. Took about 15 minutes.
may have gotten twisted inside the cover on the roller by the door where the belt comes out remove the plastic trim the roller also has a ratchet lock check to make sure functioning properly if belt twisted un twist and pull uot slack and push twist thru opening and un twist till belt is set up correctly if roller rusted stuck or damaged replace
It could have twisted on recoil and is now stuck. You'd have to remove the interior panel to view that.
On the really bad side, the seat belt pretensioner could have failed or fired and locked the belt in place. If that's the case, I'd have a mechanic replace it since you can trigger an air bag deployment replacing it yourself.