An unusual transorbital penetrating injury and principles of management.
The objective of this study was to present an unusual low velocity transorbital penetrating injury. The study design was a clinical record (case report). A 38-year-old gentleman tripped and fell face first onto the wing of an ornamental brass eagle. This penetrated the inferomedial aspect of the right orbit, breaching the lamina papyracea to extend into the ethmoid sinuses and reaching the dura of the anterior cranial fossa. The foreign body was removed in theater under a joint ophthalmology and ENT procedure. The patient was left with reduced visual acuity in the right eye but no other long-term sequelae. Transorbital penetrating injury presents unusual challenges to investigation and management requiring a multidisciplinary approach to prevent significant morbidity and mortality. If managed well the prognosis is good.
Department of Trauma and Orthopaedic Surgery, Kings Mill Hospital, Sherwood Forest Hospitals NHS Trust, Sutton-In-Ashfield, Nottinghamshire, United Kingdom.
Andrew Peter
AP
Dekker
Department of Otorhinolaryngology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom.
Abdel Hamid
AH
El-Sawy
Department of Otorhinolaryngology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom.
Darius Stephen
DS
Rejali
cranial trauma; eye foreign bodies; penetrating