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[Foreign body in the orbital cone: case report]
Manoel Baldoino Leal Filho1, Bruno Ribeiro de Almeida, Aline de Almeida Xavier Aguiar
1Neurocirugião do Hospital Getúlio Vargas, Teresina, PI, Brasil. manoelbaldoino@uol.com.br
Arquivos De Neuro-Psiquiatria
|August 2, 2003
Summary
A retained wooden orbital foreign body caused ptosis and inflammation in a young male. Successful surgical removal via supraorbital craniotomy preserved vision and resolved symptoms, highlighting delayed CT visibility.
Area of Science:
- Ophthalmology
- Neurosurgery
- Radiology
Background:
- Orbital foreign bodies can lead to severe complications, including vision loss and abscess formation.
- Prompt diagnosis and removal are crucial for managing orbital trauma.
Observation:
- A 21-year-old male presented with ptosis, limited eye movement, and inflammation after a tree branch injury.
- A CT scan revealed increased density within the right orbital cone, suggestive of a foreign body.
Findings:
- A 2.0x0.3 cm wooden splinter was surgically removed via supraorbital craniotomy.
- The wooden fragment demonstrated high density (136 HU) on CT scan two months post-trauma.
- Postoperative imaging confirmed complete foreign body removal.
Implications:
- This case highlights the potential for delayed radiodensity of wooden orbital foreign bodies.
- Early and complete removal of orbital foreign bodies is essential to prevent long-term sequelae.
- Supraorbital craniotomy is an effective approach for removing deeply embedded orbital foreign bodies.