A case of self-inflicted intraorbital injury: wooden foreign body introduced into the ethmoidal sinus

A patient with an intraorbital wooden foreign body is presented. A 43-year-old schizophrenic male patient purposely introduced a twig through his left medial canthus and into the orbital cavity 6 months before presentation. Magnetic resonance imaging showed a well-delineated intraorbital object that...

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Bibliographic Details
Published inAnnals of plastic surgery Vol. 41; no. 4; p. 422
Main Authors Akgüner, M, Atabey, A, Top, H
Format Journal Article
LanguageEnglish
Published United States 01.10.1998
Subjects
Adult
Diagnosis, Differential
Ethmoid Sinus - injuries
Ethmoid Sinus - pathology
Ethmoid Sinus - surgery
Eye Foreign Bodies - diagnosis
Eye Foreign Bodies - surgery
Humans
Magnetic Resonance Imaging
Male
Orbit - injuries
Orbit - pathology
Orbit - surgery
Schizophrenia - diagnosis
Self-Injurious Behavior - diagnosis
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Summary:A patient with an intraorbital wooden foreign body is presented. A 43-year-old schizophrenic male patient purposely introduced a twig through his left medial canthus and into the orbital cavity 6 months before presentation. Magnetic resonance imaging showed a well-delineated intraorbital object that partially penetrated the ethmoidal sinus through the medial orbital wall. Under general anesthesia, a 55-mm-long and 6-mm-diameter twig was removed through an incision along the sulcus palpebromalaris. Thick capsule formation around the foreign body, fibrosis of the adjacent tissues, and severe infection were observed. Diagnosis and management of intraorbital foreign bodies are discussed.
ISSN:0148-7043
DOI:10.1097/00000637-199810000-00013