Wooden foreign bodies in the orbital area
George ROMANOS , Eleni KONSOLAKI , Eleftheria CHAMALAKI , Panagiotis HATZIMANOLIS
Oral and Maxillofacial Surgery Clinic. University Hospital of Heraklion. Crete, Greece (Head: Dr. P.I. Hatzimanolis)
Hellenic Archives of Oral & Maxillofacial Surgery (2010) 1, 25-32
SUMMARY: The presence of foreign bodies in the orbital area is a great challenge for Oral and Maxillofacial Surgeons. Their presence is, in most cases, accompanied by serious complications, which do not only affect the functional integrity of the eyeball, but also the integrity of adjacent structures. These complications may vary depending on the size, shape and texture of the foreign body, as well as the injury mechanism. The early identification of these foreign bodies, on the basis of a careful clinical examination combined with imaging findings, will lead to the appropriate treatment of the patient. Special attention is required in cases of foreign bodies of plant origin, since their identification is very difficult, even with the use of the most advanced imaging techniques. The aim of this paper is to present the treatment of two cases of wooden foreign bodies in the orbital area. We describe our diagnostic approach, the treatment, as well as the various questions arising from the handling of similar cases.
KEY WORDS: Wooden foreign bodies, Periorbital injury, Imaging method
REFERENCES
Agarwal PK, Kumar Hemanth Srinistava PK: Unusual Orbital Foreign Bodies. Ind J Opthalmol 41: 125-127, 1993.
Cartwright MJ, Kurumety UR, Frueh BR: Intraorbital wooden foreign body. Opthalmic Plast Reconstr Surg 11: 44-48, 1995.
Fulcher TP, McNab AA, Sullivan TJ: Clinical features and management of intraorbital foreign bodies. Opthalmology 109: 494-500, 2002.
Greaney MJ: Bamboo orbital foreign body mimicking air on computed tomography. Eye 8: 713-714, 1994.
Jarrachy R, Cha ST, Shahinian HK : Retained foreign body in the orbit and cavernous sinus with delayed presentation of superior orbital fissure syndrome. J Craniofacial Surg 12: 82-86, 2001.
Kamath MP, Bhojwani KM, Hedge MC, Kamath MG, Rajeev Kumar M: Interesting case of intraorbital foreign body. Indian Journal of Otolaryngology and Head and Neck Surgery 56 : 115-117, 2004.
Lee JA, Lee HY: A case of retained wooden foreign body in orbit. Korean J Opthalmol 16: 114-118, 2002.
Mutlukan E, Fleck BW, Cullen JF, Whittle IR: Case of penetrating orbitocranial injury caused by wood. Br J Opthalmology 75: 374- 376, 1991.
Potapov AA, Eropkin SV, Korienko YN, Arutyanov NV, Yeolchigan SA, Serova NK, Kravtchuk AD, Shahinian GG: Late diagnosis and removal of a large wooden foreign body in the cranio-orbital region. J Craniofac Surg 7: 311-314, 1996.
Pytinen J, Ilkko E, Lahde S: Wooden foreign bodies in CT. Case reports and experimental studies. Acta Radiol 36: 148-151, 1995.
Rahman NU, Jamjoom A, Jamjoom ZAB, El-Asrar: Orbito-cranial injury caused by penetrating metallic foreign bodies : report of two cases. International Ophtalmology 21: 13-17, 1997.
Robaei D, Fernando GT, Branley MG, MacDonald C: Orbitocranial penetration by a fragment of wood. MJA 181: 329-330, 2004.
Specht CS, Varga JH, Jalali MM, Edelstein JP: Orbitocranial wooden foreign body diagnosed by magnetic resonance imaging. Dry wood can be isodense with air and orbital fat by computed tomography. Surv Ophtalmol 36: 341-344, 1992.
Tite DJ, Batstone MD, Lynham AJ, Monsour FNT, Chapman PJ: Penetrating orbital injury with wooden foreign body initially diagnosed as an orbital floor blowout fracture. ANZ J Surg 72 : 529- 530, 2002.
Uchino A, Kato A, Takase Y, Kudo S: Intraorbital wooden and bamboo foreign body: CT. Neuroradiology 39: 213-215, 1997.
Van der Wal KGH, Boukes RJ : Intraorbital bamboo foreign body in a chronic stage. Case report. Int J Oral Maxillofac Surg 29 : 428- 429, 2000.
Weinacht S, Zaunbauer W, Gottlob I: Optic atrophy induced by an intraorbital wooden foreign body: The role of CT and MRI. J Pediatr Ophtalmol Strabismus 35: 179-181, 1998.
Oral and Maxillofacial Surgery Clinic. University Hospital of Heraklion. Crete, Greece (Head: Dr. P.I. Hatzimanolis)
Hellenic Archives of Oral & Maxillofacial Surgery (2010) 1, 25-32
SUMMARY: The presence of foreign bodies in the orbital area is a great challenge for Oral and Maxillofacial Surgeons. Their presence is, in most cases, accompanied by serious complications, which do not only affect the functional integrity of the eyeball, but also the integrity of adjacent structures. These complications may vary depending on the size, shape and texture of the foreign body, as well as the injury mechanism. The early identification of these foreign bodies, on the basis of a careful clinical examination combined with imaging findings, will lead to the appropriate treatment of the patient. Special attention is required in cases of foreign bodies of plant origin, since their identification is very difficult, even with the use of the most advanced imaging techniques. The aim of this paper is to present the treatment of two cases of wooden foreign bodies in the orbital area. We describe our diagnostic approach, the treatment, as well as the various questions arising from the handling of similar cases.
KEY WORDS: Wooden foreign bodies, Periorbital injury, Imaging method
REFERENCES
Agarwal PK, Kumar Hemanth Srinistava PK: Unusual Orbital Foreign Bodies. Ind J Opthalmol 41: 125-127, 1993.
Cartwright MJ, Kurumety UR, Frueh BR: Intraorbital wooden foreign body. Opthalmic Plast Reconstr Surg 11: 44-48, 1995.
Fulcher TP, McNab AA, Sullivan TJ: Clinical features and management of intraorbital foreign bodies. Opthalmology 109: 494-500, 2002.
Greaney MJ: Bamboo orbital foreign body mimicking air on computed tomography. Eye 8: 713-714, 1994.
Jarrachy R, Cha ST, Shahinian HK : Retained foreign body in the orbit and cavernous sinus with delayed presentation of superior orbital fissure syndrome. J Craniofacial Surg 12: 82-86, 2001.
Kamath MP, Bhojwani KM, Hedge MC, Kamath MG, Rajeev Kumar M: Interesting case of intraorbital foreign body. Indian Journal of Otolaryngology and Head and Neck Surgery 56 : 115-117, 2004.
Lee JA, Lee HY: A case of retained wooden foreign body in orbit. Korean J Opthalmol 16: 114-118, 2002.
Mutlukan E, Fleck BW, Cullen JF, Whittle IR: Case of penetrating orbitocranial injury caused by wood. Br J Opthalmology 75: 374- 376, 1991.
Potapov AA, Eropkin SV, Korienko YN, Arutyanov NV, Yeolchigan SA, Serova NK, Kravtchuk AD, Shahinian GG: Late diagnosis and removal of a large wooden foreign body in the cranio-orbital region. J Craniofac Surg 7: 311-314, 1996.
Pytinen J, Ilkko E, Lahde S: Wooden foreign bodies in CT. Case reports and experimental studies. Acta Radiol 36: 148-151, 1995.
Rahman NU, Jamjoom A, Jamjoom ZAB, El-Asrar: Orbito-cranial injury caused by penetrating metallic foreign bodies : report of two cases. International Ophtalmology 21: 13-17, 1997.
Robaei D, Fernando GT, Branley MG, MacDonald C: Orbitocranial penetration by a fragment of wood. MJA 181: 329-330, 2004.
Specht CS, Varga JH, Jalali MM, Edelstein JP: Orbitocranial wooden foreign body diagnosed by magnetic resonance imaging. Dry wood can be isodense with air and orbital fat by computed tomography. Surv Ophtalmol 36: 341-344, 1992.
Tite DJ, Batstone MD, Lynham AJ, Monsour FNT, Chapman PJ: Penetrating orbital injury with wooden foreign body initially diagnosed as an orbital floor blowout fracture. ANZ J Surg 72 : 529- 530, 2002.
Uchino A, Kato A, Takase Y, Kudo S: Intraorbital wooden and bamboo foreign body: CT. Neuroradiology 39: 213-215, 1997.
Van der Wal KGH, Boukes RJ : Intraorbital bamboo foreign body in a chronic stage. Case report. Int J Oral Maxillofac Surg 29 : 428- 429, 2000.
Weinacht S, Zaunbauer W, Gottlob I: Optic atrophy induced by an intraorbital wooden foreign body: The role of CT and MRI. J Pediatr Ophtalmol Strabismus 35: 179-181, 1998.
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