A 58-year-old carpenter was working at a home-construction site while a colleague working above him fired nails into a board with a nail gun. The board broke during one of the firings, accidentally propelling a galvanized nail into the patient's left medial orbit and across the sinuses and soft tissues below the base of the skull. He presented without any evident neurologic damage. An arteriogram documented the absence of vascular damage. The nail was removed, and the patient remains well with no sequelae.
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