Penetrating large retro-orbital foreign body -fishing sinker: removal via endoscopic transnasal approach
Objective: To report a rare penetrating large orbital foreign body case in a young man with normal vision and ocular movement, and discuss issues regarding best route of its removal. Design: Case report. Materials and Methods: A young man had an accident while fishing and ended up with a sinker p...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English English |
| Published: |
Japan International Cultural Exchange Foundation
2017
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/57841/ http://irep.iium.edu.my/57841/ http://irep.iium.edu.my/57841/1/Fishing%20sinker%20orbiti.pdf http://irep.iium.edu.my/57841/7/Penetrating%20large%20retro-orbital%20foreign%20body%20-fishing%20%20sinker%20removal%20via%20endoscopic%20transnasal%20approach.pdf |
| Summary: | Objective: To report a rare penetrating large orbital foreign body case in a young man with normal vision and ocular movement,
and discuss issues regarding best route of its removal.
Design: Case report.
Materials and Methods: A young man had an accident while fishing and ended up with a sinker penetrated into his right
orbit. He has no loss of vision and normal ocular movement. X-ray and CT scan showed a 4 cm bullet shaped sinker in the inferior
aspect of the medial wall of the right orbit.
Results: The removal was successfully done via endoscopic opening of the posterior ethmoid air cells and creating an opening
at the anterior wall of the sphenoid sinus to facilitate the removal transnasally. There was no short term and long term complications
resulting from the surgery.
Conclusion: Transnasal endoscopic approach should be considered for removal of any medially positioned orbital foreign
bodies. This case highlights the importance of a multidisciplinary approach in the management of orbital foreign body and in
deciding the best route of foreign body removal to limit potential complications. |
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