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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.
Purpose:
Four patients with intraorbital foreign bodies admitting to our clinic between 2001 and 2011 are presented. Their clinical and radiologic findings and surgical strategies are discussed.
Objective:
The success of surgery for the intraorbital foreign bodies largely depends on the determination of the exact localization of them. Radiologic examination should follow clinical diagnosis. Computed tomographic views are especially required to demonstrate the foreign body.
Materials And Methods:
Four patients with different etiologies of trauma are presented. Each had computed tomography views for foreign body localization. All but 1 had surgery for removal of the object under general anesthesia.
Results:
No complications were observed postoperatively. Only 1 patient is followed up without an operation due to the risk of damaging delicate structures that the foreign body is close to. He has no loss of function.
Conclusion:
Early removal of foreign bodies in orbital region is usually preferred due to the risk of neurologic damage and other complications. Surgical removal is quite challenging for foreign bodies like wood. Magnets can be used for metallic bodies.
