J Rhinol.  2017 Nov;24(2):112-117. 10.18787/jr.2017.24.2.112.

Endoscopic Removal of Retained a Wooden Foreign Body Causing Persistent Intraorbital Inflammation

• Kim HG
• Chung YJ

• KMID: 2398829
• DOI: http://doi.org/10.18787/jr.2017.24.2.112

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.

Keyword

Foreign body; Orbit; Abscess; Wood

MeSH Terms

Abscess
Anti-Bacterial Agents
Diagnosis
Foreign Bodies*
Humans
Inflammation*
Magnetic Resonance Imaging
Male
Middle Aged
Optic Nerve Injuries
Orbit
Orbital Cellulitis
Physical Examination
Wood
Anti-Bacterial Agents

Figure

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  Fig. 1 Preoperative axial (A) and coronal (B) computerized tomography (CT) scans show diffuse air bubble with soft tissue swelling, haziness of left ethmoid sinus and medial blow out fracture.

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  Fig. 2 Axial (A) and coronal (B) computerized tomography (CT) scans performed 1 month after wooden penetrating injury show high density material that may outline the suspected retained wooden foreign body (arrow).

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  Fig. 3 Photograph of the removed wooden foreign body, sized 18×5 mm.

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  Fig. 4 Axial (A) and coronal (B) computerized tomography (CT) scans, performed 1 week after endoscopic removal of the retained wooden foreign body.

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