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Oculocerebral perforating trauma by foreign objects: diagnosis and surgery.

G B Scarfo1, A Mariottini, L Palma

  • 1Divisione di Neurochirurgia, Università di Siena, Italy.

Journal of Neurosurgical Sciences
|April 1, 1990
PubMed
Summary
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Two patients with severe eye and brain injuries from industrial accidents underwent successful surgery. Simultaneous transcranial and transorbital approaches minimized infection risk, leading to excellent functional and aesthetic outcomes in these oculocerebral trauma cases.

Area of Science:

  • Neurosurgery
  • Ophthalmology
  • Trauma Surgery

Background:

  • Perforating oculocerebral trauma is rare and often results from industrial accidents.
  • Foreign bodies penetrating the orbit and brain pose significant surgical challenges and infection risks.

Observation:

  • Two cases of unusual perforating oculocerebral trauma are presented.
  • Case 1: A nail from a nail gun ricocheted, penetrating the right eyeball, orbit, and lodging in the temporal lobe.
  • Case 2: A metal fragment from agricultural machinery entered the left maxillary sinus, traversing the orbit and lodging in the frontal lobe.

Findings:

  • Both patients underwent surgery using a simultaneous transcranial and transorbital approach.
  • This combined surgical approach was chosen to minimize the high risk of infection associated with such injuries.

Related Experiment Videos

  • Accurate neuroradiological examination was crucial for surgical planning.

    • Implications:

    • The satisfactory functional and aesthetic results suggest the simultaneous transcranial and transorbital approach is effective for managing complex oculocerebral trauma.
    • This approach may be the optimal strategy for reducing infectious complications in similar cases.
    • Successful surgical management highlights the importance of specialized techniques for penetrating eye and brain injuries.