Temporal Approach to Removal of a Large Orbital Foreign Body.
Accidents with firearms can result in extensive orbital trauma. Moreover, gun parts can come loose and impale the maxillofacial region. These injuries can cause the loss of visual acuity and impair eye movements. Multidisciplinary treatment is required for injuries associated with this type of trauma. Computed tomography with three-dimensional reconstruction is useful for determining the precise location and size of the object lodged in the facial skeleton, thereby facilitating the planning of the correct surgical approach. The temporal approach is a fast, simple technique with few complications that is indicated for access to the infratemporal fossa. This article describes the use of the temporal approach on a firearm victim in whom the breech of a rifle had impaled orbital region, with the extremity lodged in the infratemporal fossa.
Department of Oral and Maxillofacial Surgery, State University of Rio Grande do Norte, Caicó, Brazil.
Hécio Henrique Araújo
HH
de Morais
Department of Oral and Maxillofacial Surgery, University of Pernambuco, Camaragibe, Brazil.
Jimmy Charles Melo
JC
Barbalho
Department of Oral and Maxillofacial Surgery, State University of Rio Grande do Norte, Caicó, Brazil.
Tasiana Guedes
TG
de Souza Dias
Department of Oral and Maxillofacial Surgery, State University of Paraíba, Araruna, Brazil.
Rafael Grotta
RG
Grempel
Department of Oral and Maxillofacial Surgery, University of Pernambuco, Camaragibe, Brazil.
Ricardo José de Holanda
RJ
Vasconcellos
intraorbital foreign body; orbit; temporal