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The Surgical Strategy for the Intraorbital Foreign Bodies.
Mehmet Ersin Gonullu1, Gaye Taylan Filinte, Nujen Gulcin Aycicek Cardak
1*Private Practice †Kartal Dr. Lutfi Kirdar Training and Research Hospital Plastic, Reconstructive and Aesthetic Surgery Clinic ‡Konya Numune Hospital §Department of Plastic, Reconstructive and Aesthetic Surgery, Maltepe University, Istanbul, Turkey.
The Journal of Craniofacial Surgery
|August 3, 2016
Summary
Early surgical removal of intraorbital foreign bodies is crucial to prevent complications. Imaging, like computed tomography (CT), aids localization, though some cases may be managed non-operatively due to anatomical risks.
Area of Science:
- Ophthalmology
- Radiology
- Surgical Sciences
Background:
- Intraorbital foreign bodies present a diagnostic and therapeutic challenge.
- Accurate localization is paramount for successful surgical intervention.
Observation:
- A case series of four patients with intraorbital foreign bodies treated between 2001 and 2011.
- Computed tomography (CT) was utilized for precise foreign body localization in all cases.
- Surgical removal under general anesthesia was performed in three patients.
Findings:
- No postoperative complications were reported in the surgically treated patients.
- One patient with a foreign body near delicate structures was managed non-operatively with no functional deficit.
- Surgical removal of wood foreign bodies poses significant challenges; metallic bodies may be amenable to magnetic extraction.
Implications:
- Emphasizes the importance of advanced imaging, particularly CT, in managing intraorbital foreign bodies.
- Highlights the need for careful consideration of surgical risks versus benefits, especially with objects near vital orbital structures.
- Suggests tailored approaches for different foreign body compositions, including non-operative management and specialized removal techniques.

