title: Management of orbital-sinus foreign bodies.
abstract: Orbital-sinus foreign bodies traverse the orbit and lay, at least partially, within the paranasal sinuses. Most of these injuries occur as a result of facial trauma. In most cases, history alone is not sufficient to rule out a retained foreign body. Early magnetic resonance imaging is necessary to evaluate the full extent of injury. Since these foreign bodies may cause a severe orbital infection and threaten the patient's vision, surgical removal is recommended. Endoscopic sinus surgery provides a safe and effective approach for extraction of these foreign bodies that can be used alone or in conjunction with other surgical approaches. The case of an orbital-sinus foreign body is presented together with a comprehensive approach for diagnosis and management of this type of injury.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
authors.forename: T J
authors.initials: TJ
authors.lastname: Kwiatkowski
authors.forename: T M
authors.initials: TM
authors.lastname: Magardino
authors.forename: M
authors.initials: M
authors.lastname: Austin
mesh_terms: D000058:Accidental Falls; D002675:Child, Preschool; D004724:Endoscopy; D005005:Ethmoid Sinus / Q000293:injuries; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D022125:Lacerations / Q000175:diagnosis; D008297:Male; D008443:Maxillary Sinus / Q000293:injuries; D015835:Ocular Motility Disorders / Q000175:diagnosis; D009915:Orbit / Q000293:injuries; D009917:Orbital Fractures / Q000175:diagnosis; D012449:Safety; D012887:Skull Fractures / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014934:Wood