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A Case of Retained Multiple Intraorbital Foreign Bodies
Artigo em Coreano | WPRIM (Pacífico Ocidental) | ID: wpr-77492
Biblioteca responsável: WPRO
ABSTRACT

PURPOSE:

A diagnosis of wooden intraorbital foreign bodies is common and their removal is often necessitated after complications become manifested. In case of operation, it is difficult to find and remove wooden foreign bodies completely. We have experienced a case of retained multiple intraorbital foreign bodies removed by the secondary operation. We report this case with a literature review.

METHODS:

A 39-year-old man visited our clinic complaining of diplopia, exophthalmos, and limitation of eyeball movement. He had fallen down and had a lacerated wound. Right after primary closure, he experienced strabismus, orbital cellulitis, and abscess. Several months later, he had a soft mass in the operated lower lid, and two wooden intraorbital foreign bodies were found. MRI detected granuloma and cellulitis near the cavernous sinus.

RESULTS:

More than ten intraorbital wooden foreign bodies were surgically removed. After the surgery exophthalmos and diplopia were improved, and limitation of eyeball movement disappeared. The MRI findings were also improved.

CONCLUSIONS:

Intraorbital wooden foreign bodies should be diagnosed with a thorough history taking and radiologic exam, due to a number of potential complications, such as orbital cellulitis, abscess, and diplopia. Furthermore, they should be removed in consideration that they can move spontaneously into the deep interior of the orbit.
Assuntos

Texto completo: Disponível Base de dados: WPRIM (Pacífico Ocidental) Assunto principal: Órbita / Ferimentos e Lesões / Imageamento por Ressonância Magnética / Seio Cavernoso / Celulite (Flegmão) / Exoftalmia / Estrabismo / Diagnóstico / Abscesso / Diplopia Tipo de estudo: Estudo diagnóstico Limite: Adulto / Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Ano de publicação: 2004 Tipo de documento: Artigo
Texto completo: Disponível Base de dados: WPRIM (Pacífico Ocidental) Assunto principal: Órbita / Ferimentos e Lesões / Imageamento por Ressonância Magnética / Seio Cavernoso / Celulite (Flegmão) / Exoftalmia / Estrabismo / Diagnóstico / Abscesso / Diplopia Tipo de estudo: Estudo diagnóstico Limite: Adulto / Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Ano de publicação: 2004 Tipo de documento: Artigo
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