Endoscopic Removal of Retained a Wooden Foreign Body Causing Persistent Intraorbital Inflammation.
10.18787/jr.2017.24.2.112
- Author:
Hong Geun KIM
1
;
Young Jun CHUNG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University, College of Medicine, Cheonan, Korea. entdocjung@daum.net
- Publication Type:Case Report
- Keywords:
Foreign body;
Orbit;
Abscess;
Wood
- MeSH:
Abscess;
Anti-Bacterial Agents;
Diagnosis;
Foreign Bodies*;
Humans;
Inflammation*;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Optic Nerve Injuries;
Orbit;
Orbital Cellulitis;
Physical Examination;
Wood
- From:Journal of Rhinology
2017;24(2):112-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An intraorbital foreign body can cause a variety of signs and symptoms depending on size, location, and composition and can be classified as metal, inorganic, or organic depending on composition. An intraorbital organic foreign body, such as wood, can cause severe inflammation. An intraorbital foreign body is not only difficult to detect, but also can cause severe complications such as orbital cellulitis, orbital abscess, optic nerve injury, and extraocular muscle injury. A wooden foreign body can be very difficult to detect, even if computed tomography (CT) or magnetic resonance imaging (MRI) is used. Therefore, clinical suspicion based on history taking, physical examination, and radiological examination is essential for diagnosis of intraorbital wooden foreign body. We report a case of repeated intraorbital inflammation due to a retained wooden foreign body in a healthy 56-year-old male patient, who was treated with a combination of intravenous antibiotics and transnasal endoscopic foreign body removal.
