Transorbital penetration of the skull base with an occult foreign body

Transorbital Orbitocranial Penetrating Injury due to Bicycle Brake Handle in a Child

“…Transorbital orbitocranial penetrating injuries (TOPI) are relatively rare, usually occur in young children and can be caused by a variety of unusual objects [1,2,3,4,5]. The diagnosis is straightforward when the presence of the foreign body fragment in the wound is confirmed.…”

Presentation, Workup, and Management of Penetrating Transorbital and Transnasal Injuries: A Case Report and Systematic Review

“…Four of the seven patients with delayed presentation reported meningitis as a complication, including one patient who also developed a brain abscess. 8,11,17,18 Orbital complications most commonly were transient decreased vision and/or ophthalmoplegia. As with our patient, transorbital injuries were rarely associated with globe rupture.…”

Transorbital Stab Injury with Retained Knife: A Narrow Escape

“…The risk of these kinds of injuries is high especially in the orbital region because the orbital roof and medial wall are relatively thin and the objects even with less force can easily penetrate deep and cause damage to the globe, brain, cavernous sinus, paranasal sinuses, and optic nerve. Hence, the pathophysiological consequences and degree of permanent neurological deficit in such injuries depend upon the kinetic energy and the pathway or trajectory of the offending object, timing to access the medical care, rapidity of exploration, removal of the object and avoiding the secondary injury [ 15 , 16 ]. The consequences of such wounds include brain contusions, cerebrospinal fluid fistulas, intracerebral, subdural, and extradural hematomas, and pneumocephalus.…”