Penetrating Orbital Trauma

Dunya, Ibrahim M.; Rubin, Peter A. D.; Shore, John W.

doi:10.1097/00004397-199503510-00004

Cited by 22 publications

(19 citation statements)

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“…These secondary injuries can cause more damage than the bullet itself. [1417] Nature and severity of the damage and preservation of visual function depends on the direction of impact and the part of globe involved. [14] In case of perforating injury, loss of vision is common as in our case or even loss of eyeball and late enophthalmos in many cases.…”

Section: Discussionmentioning

confidence: 99%

Unusual route of a bullet: From scapula to eye

Biler

Onay

Ceylan

et al. 2017

Indian J Ophthalmol

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Herein, an awkward case of globe perforation with a bullet-entering from the right posterior scapular region and leaving the body from the right orbit through the eye - is reported. Route of the bullet could be devastating - as it passed through the neck and the maxillofacial region-however by chance no vital damage occurred. Its path was assessed by plain radiography and computed tomography scans. Sometimes prediction of the trajectory is very difficult without additional radiological investigations. Especially, in the case of any high velocity projectile wounding, physician must be aware of the fact that the bullet's course will not be a linear but most probably a complicated one. Prognosis of the injury depends on the path of the bullet or shrapnel fragment, close clinical observation, an open-minded approach, and the multidisciplinary care. Moreover, even the crime investigation might be needed.

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Section: Discussionmentioning

confidence: 99%

Unusual route of a bullet: From scapula to eye

Biler

Onay

Ceylan

et al. 2017

Indian J Ophthalmol

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“…Orbitocranial penetrating injuries by a foreign body are relatively rare and associated with a significant morbidity and mortality 3 . This injury may give rise to ocular and cerebral injuries like extraocular muscle dysfunction, cranial nerve palsy, optic neuropathy, cerebrovascular injuries, intracerebral hematoma and intraventricular hemorrhage, some of which may require emergent intervention to prevent neurological squeals 4 .…”

Section: Discussionmentioning

confidence: 99%

CT Angiography Evaluation of Unusual Transorbital Penetrating Injury: A Toothbrush

Atay

Alkan

Hanımoğlu

et al. 2013

Journal of Neuroimaging

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Orbital penetrating injuries may cause significant harm to optic nerves and eyeball as well as to the brain and cerebral vasculature. Defining surrounding neurovascular structures by CT angiography (CTA) is important for surgical removal. We present an uncommon case of a 3-year-old child with a penetrating orbital injury caused by a toothbrush. To the best of our knowledge, there is no report orbital injury with a toothbrush so far.

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“…Orbitocranial penetrating injuries are usually associated with a significant morbidity and mortality 3,15 . Most penetrating cerebral metallic injuries are caused by shrapnel or fire arm however wounds caused by knife are rare 7 .…”

Section: Discussionmentioning

confidence: 99%

Orbitocerebral injury by a knife: case report

et al. 2009

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SummaryOrbital penetrating injuries may cause significant harm to the optic nerves and eyeball as well as to the brain and cerebral vessels. Management of orbital foreign bodies should include prompt recognition of the extent of the injury, broad-spectrum parenteral antibiotics, tetanus prophylaxis, anticonvulsant medication and early surgical intervention under direct vision to remove the foreign body and to avoid immediate and long-term complications. We report a penetrating orbital injury caused by a bread knife that extended from the orbit to the tegmental dura mater of the temporal bone. The knife's main trajectory coursed through the temporal lobe. Adjacent cerebral structures were explored before removal of the knife.KEY WORDS: Cerebrum. Eyeball. Orbit. Cranial penetrating injury. Knife. Traumatismo perforante orbito-craneal por un cuchillo de pan. Presentación de un caso ResumenLos traumatismos perforantes orbitarios suelen causar un daño importante al nervio óptico y globo ocular, así como al cerebro y vasos cerebrales. La órbita permite un acceso fácil hacia la cavidad craneal debido a que tiene una pared ósea delgada y a la presencia del agujero óptico. El enfoque terapéutico de los traumatismos orbitarios por cuerpo extraño depende fundamentalmente del tipo de traumatismo y del cuerpo extraño. El tratamiento de este tipo de lesiones incluirá un rápido diagnostico de la magnitud del daño ocasionado, el empleo por vía parenteral de antibióticos de amplio espectro, profilaxis del tétanos, medicación anticonvulsivante y cirugía urgente que permita, bajo visión directa, la extracción del cuerpo extraño, a fin de evitar complicaciones inmediatas o a largo plazo. Presentamos el caso de un traumatismo perforante ocular ocasionado por un cuchillo de pan que se extendía desde la órbita hasta el tegmentum del hueso temporal. El cuchillo seguía una trayectoria directa a través del lóbulo temporal. Se practicó una exploración quirúr-gica de las estructuras cerebrales adyacentes para poder extirpar el cuchillo. Se revisan y analizan las opciones de tratamiento de los traumatismos perforantes de la órbita.

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Penetrating Orbital Trauma

Cited by 22 publications

References 0 publications

Unusual route of a bullet: From scapula to eye

Unusual route of a bullet: From scapula to eye

CT Angiography Evaluation of Unusual Transorbital Penetrating Injury: A Toothbrush

Orbitocerebral injury by a knife: case report

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