Optik sinire uzanım gösteren tahta bir yabancı cismin transkonjonktival medial anterior orbitotomi ile çıkarılması: Bir olgu sunumu

Yıl 2019, Cilt: 4 Sayı: 2, 103 - 106, 01.08.2019

Meryem Altın Ekin , Şeyda Karadeniz Uğurlu

https://doi.org/10.25000/acem.530610

Öz

İntraorbital yabancı
cisimler kimyasal içeriklerine göre organik ve inorganik olarak
sınıflandırılabilirler. Tahta inorganik yapıda ve intraorbital yabancı cisim
yaralanmalarının nadir fakat şiddetli bir formudur. İntraorbital tahta yabancı
cisim yaralanmalarının değerlendirilmesi ve yönetimi oldukça zordur ve ciddi
orbital komplikasyonlara yol açabilir. Bu yazıda, otuz-üç yaşındaki erkek hastanın
sol orbitasına tahta bir yabancı cisim ile olan penetran yaralanmasını
sunuyoruz. Bilgisayarlı tomografi ile sol supraorbital bölgeden intrakonal
bölgeye uzanım gösteren doğrusal bir yabancı cisim görüntülendi. Yabancı cismin
ucu optik sinire yapısal bütünlüğünü bozmadan temas etmekteydi. Hastaya
transkonjonktival medial anterior orbitotomi uygulandı ve tahta yabancı cisim
intrakonal bölgede optik sinire çok yakın lokalize olarak bulundu. Kontrollü
traksiyonla 7 cm’lik bir tahta parçası tamamen çıkartıldı. Postoperatif dönem
normal oftalmik muayeneyle sorunsuzdu. Transkonjonktival medial anterior
orbitotomi intrakonal bölgelerdeki tahta yabancı cisimlerin çıkartılması için
kullanışlı ve etkili bir yöntemdir.

Anahtar Kelimeler

tahta yabancı cisim, intrakonal, intraorbital, optik sinir, orbitotomi

Transconjunctival medial anterior orbitotomy for the removal of a wooden intraorbital foreign body extending to the optic nerve: A case report

Öz

Intraorbital foreign
bodies can be classified into organic or inorganic according to their chemical
composition. Wooden is inorganic in nature and
is a rare, but serious form of intraorbital foreign body injuries. Evaluation
and management of intraorbital wooden foreign bodies are highly challenging and
can lead to severe orbital complications. In
this paper, we report a case of a 33-year old man who presented with a
penetrating wooden foreign body injury to the left orbit. Computed tomography
revealed a linear shaped foreign body extending from left supraorbital ridge to
the intraconal area. The tip of the foreign body was touching to the optic
nerve without disrupting its integrity. The patient underwent transconjunctival
medial anterior orbitotomy and the wooden foreign body was found to be located
close proximity to the optic nerve in intraconal space. A 7cm wooden stick was
removed completely with controlled traction. Postoperative recovery was
uneventful with normal ophthalmic examination. Transconjunctival medial
anterior orbitotomy is a useful and effective method for the removal of
intraorbital wooden foreign bodies located in intraconal space.

Anahtar Kelimeler

wooden foreign body, intraconal, intraorbital, optic nerve, , orbitotomy

Kaynakça

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