A Wooden Intraorbital Foreign Body: Case Report

Abstract

Although penetrating injuries of the orbital region are not rare, injuries with organic foreign bodies such as wood are still infrequent and despite the improved diagnostic techniques, the diagnosis can still be challenging. In this manuscript, such a case of an 11 years old male patient who was admitted with the complaints of swelling, pain and pussy discharge from his right eye, one week after head injury is presented. Patients with intraorbital wood fragments can present with different signs and symptoms, mainly due to the structural nature of the material. Early surgical removal of the intraorbital foreign bodies is very important to avoid complications and permanent neurological deficit. When compared to metallic foreign bodies, the wood fragment is more susceptible to be broken into pieces. Thus, surgical extraction of these objects should be done meticulously. Key words: Intraorbital Foreign Body, Penetrating Injury, Surgical Treatment

Keywords

• Intraorbital Foreign Body, Penetrating Injury, Surgical Treatment

İntraorbital Odun Parçası: Olgu Sunumu

Öz

Orbita bölgesinin yabancı cisimlere bağlı delici yaralanmaları nadir olmamakla birlikte özellikle odun parçası gibi organik maddelere bağlı yaralanmalar çok az görülmektedir. Tanı koymak, gelişmiş görüntüleme yöntemlerine rağmen güç olabilir. Bu yazıda, kafa travmasından bir hafta sonra sağ gözünde şişlik, ağrı ve kokulu akıntı yakınmasıyla başvuran ve yapılan tetkiklerinde intraorbital odun parçası tespit edilen 11 yaşındaki erkek olgu sunulmaktadır. İntraorbital odun parçası olan hastalar, maddenin doğal yapısı nedeniyle geç ve farklı yakınmalarla başvurabilirler. Orbita içi yabancı cisimlerin erken çıkarılması, olası komplikasyonların ve kalıcı nörolojik hasarın önlenmesi açısından çok önemlidir. Odun parçası, metalik yabancı cisimlere oranla parçalanmaya yatkın olduğundan cerrahi olarak çıkarılmasında azami dikkat gösterilmelidir. Anahtar kelimeler: Cerrahi Tedavi, İntraorbital Yabancı Cisim, Penetran Yaralanma

Anahtar Kelimeler

• Cerrahi Tedavi, İntraorbital Yabancı Cisim, Penetran Yaralanma

Kaynakça

1. John SS, Rehman TA, John D, et al. Missed diagnosis of a wooden intra-orbital foreign body. Indian J Ophthalmol 2008; 56: 322-4.
2. Zenter J, Hassler W, Petersen D. A wooden foreign body penetrating the superior orbital fissure. Neurochirurgia 1991; 34: 188-90.
3. Ho VH, Wilson MW, Fleming JC, et al. Retained intraorbital metallic foreign bodies. Ophthal Plast Reconstr Surg 2004; 20: 232-6.
4. Ho VT, McGuckin JF Jr, Smergel EM. Intraorbital wooden foreign body: CT and MR appearance. Am J Neuroradiol 1996; 17: 134-6.
5. Liu D, Essam AS. Retained orbital wooden foreign body. Ophthalmology 2002; 109: 393-9.
6. Lakshmanan A, Bala S, Belfer KF. Intraorbital organic foreign body - a diagnostic challenge. Orbit 2008; 27:131-3.
7. McGuckin JF Jr, Akhtar N, Ho VT, et al. CT and MR evaluation of a wooden foreign body in an in vitro model of the orbit Am J Neuroradiol 1996; 17: 129-33.
8. Peterson JJ, Bancroft LW, Kransdorf MJ. Wooden foreign bodies: imaging appearance. Am J Roentgenol 2002; 178: 557- 62.

9. Specht CD, Varga JH, Jalali MM, et al. Orbitocranial wooden foreign body diagnosed by magnetic resonance imaging: dry wood can be isodense with air and orbital fat by computed tomography. Surv Ophthalmol 1992; 36: 341-4.
10. Akgüner M, Atay A, Top H. A case of self inflicted intraorbital injury: Wooden foreign body introduced into the ethmoidal sinus. Ann Plast Surg 1998; 41: 422-4.