Percutaneous endoscopic removal of a residual foreign body at the orbital-cranial region after transorbital penetrating injury: a novel minimally invasive technique

Yao, Ying; Shen, Fang; Chen, Aiqin; Ying, Guangyu; Zhu, Yongjian

doi:10.1186/s41016-017-0102-7

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Endoscopic removal instead of craniotomy or endoscopic removal through nasal or paranasal sinus has also been used in some cases of residual foreign body. 10 Sometimes, foreign body granulomas can occur due to clips used in surgery or because of cotton gauge left during surgeries. 11 Patient can present with seizures, thrombosis, obstructive hydrocephalus, fistulas(carotid-cavernous or arteriovenous), hematomas, focal neurological deficits or life threatening CNS infection like meningitis.…”

Section: Discussionmentioning

confidence: 99%

Bamboo in the brain: Impalement injury over orbito-cranial region via superior orbital fissure

Pokhrel¹,

Thapa²

2021

Nep J Neurosci

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Intracranial wooden foreign bodies due to transorbital penetrating injury sparing orbital globe are relatively rare with no reported cases till date. A multidisciplinary approach with multiple imaging modalities is needed for preoperative surgical planning. In this case report, we report a case of 3-year-old male who presented to our emergency department with history of fall from 5 feet with no vision over right eye. ~2cm cut injury with sutures in situ was present over nasal ridge with pus discharge. CT scan head showed foreign body over temporal region. Right fronto-temporo-orbito-zygomatic craniotomy with removal of foreign body was done. Deep seated abscess seen over temporal fossa was evacuated and post-operatively intravenous antibiotics was continued. Contrast enhanced CT repeated on 15th post-operative day showed no remaining abscess or foreign body. The patient was discharged on oral antibiotics. The wound healed completely with no improvement of vision in 1-week follow-up. Keywords: brain abscess, orbito-cranial penetrating injury, wooden foreign body

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Section: Discussionmentioning

confidence: 99%

Bamboo in the brain: Impalement injury over orbito-cranial region via superior orbital fissure

Pokhrel¹,

Thapa²

2021

Nep J Neurosci

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Classification of orbitocranial wooden foreign body penetration injuries: what to do when they violate the intracranial space? A systematic review

et al. 2020

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Difficulties of diagnosis and the need for a comprehensive approach to treatment of patients with X-ray non-contrast orbital foreign bodies

Kolesnikov,

Pshennikov,

Kirsanova

et al. 2023

jour

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Introduction. An orbital foreign body, especially of an organic nature, is often difficult to diagnose during the initial examination. A thorough history taking, clinical examination, and the use of additional imaging techniques are of great importance. Due to the risk of purulent-inflammatory complications, foreign bodies must be surgically removed.The aim of the work was to demonstrate the importance of timely diagnosis and complex approach to treatment of patients with X-ray non-contrast foreign bodies of the orbit using the example of clinical observation.Materials and methods. Patient R. came in with complaints of redness, pain, lacrimation and lack of vision in the left eye after falling and hitting the left side of his face on a metal corner. Left eye visual acuity = 1/∞PrLinc, IOP = T−3 (palpatory).Results. Control X-ray computed tomography (CT) of the orbits and paranasal sinuses (PNS) suspected the presence of a radiopaque foreign body. A rhinoendoscopic examination was performed by an otorhinolaryngologist and a fragment of a large wooden foreign body was found in the nasopharyngeal arch. Surgeons of the ophthalmologic and otorhinolaryngologic departments performed surgery: removal of the foreign body, endonasal endoscopic opening of the labyrinth on the left, endoscopic endonasal maxillary sinus maxillary sinus maxillotomy on the left, left microcoidectomy, resection of trauma-exposed tissue. During his stay in the 2nd Ophthalmologic Department of the Regional Clinical Hospital named after N.A. Semashko. N.A. Semashko Regional Clinical Hospital, the patient’s condition improved, infection was eliminated, prevention of possible complications was carried out. The patient was referred to the Pirogov National Medical-Surgical Center, where the following surgery was performed: microinvasive vitrectomy + FEC + PFOS + retinotomy + endotamponade with silicone oil 1300 of the left eye, and a consultation with a laser surgeon was recommended for laser iridectomy.Discussion The clinical case considers a comprehensive approach to the treatment of intraorbital foreign bodies, the participation of a multidisciplinary team of specialists, while the patient still has a long road to rehabilitation.Conclusion In orbital trauma with penetration of a foreign body, an accurate history, timely diagnosis, and rational surgical and conservative treatment are important. This will help to avoid serious complications and prevent visual and oculomotor disorders of the visual organ.

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Percutaneous endoscopic removal of a residual foreign body at the orbital-cranial region after transorbital penetrating injury: a novel minimally invasive technique

Cited by 3 publications

References 10 publications

Bamboo in the brain: Impalement injury over orbito-cranial region via superior orbital fissure

Bamboo in the brain: Impalement injury over orbito-cranial region via superior orbital fissure

Classification of orbitocranial wooden foreign body penetration injuries: what to do when they violate the intracranial space? A systematic review

Difficulties of diagnosis and the need for a comprehensive approach to treatment of patients with X-ray non-contrast orbital foreign bodies

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