Related Experiment Video
Updated: Jul 11, 2026
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
[Orbital penetrating wound by a bull horn]
E Campos-Mollo1, J J Pérez-Santonja, J Samper-Giménez
1Servicio de Oftalmología, Hospital Virgen de los Lirios, Alcoy (Alicante), España. ezechiel@hotmail.com
Introduction:
Bull horn injuries are severe lesions with a high risk of bacterial contamination, and are common in countries where people are fond of bullfighting and related spectacles.
Case Report:
A 19-year-old man was referred with a penetrating wound in the superior left eyelid produced by a bull horn and resulting in a fracture of the orbital roof and a fat hernia. Prophylactic antibiotics and tetanus toxoid were administered and surgical reconstruction of the wound performed. Orbital cellulitis did develop, but this responded to systemic antibiotic therapy within a few days.
Discussion:
Successful treatment of this type of lesion requires early diagnosis, meticulous surgical exploration and appropriate use of prophylactic antibiotics and tetanus toxoid.
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