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

Hong-Geun Kim; Young-Jun Chung

doi:10.18787/jr.2017.24.2.112

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Kim and Chung: Endoscopic Removal of Retained a Wooden Foreign Body Causing Persistent Intraorbital Inflammation

Case Report

Journal of Rhinology 2017; 24(2): 112-117.

Published online: 30 November 2017

DOI: https://doi.org/10.18787/jr.2017.24.2.112

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

Hong-Geun Kim, MD, Young-Jun Chung, MD

Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University, College of Medicine, Cheonan, Korea.

Corresponding author: Tel: +82-41-550-6480, Fax: +82-41-556-1090, entdocjung@daum.net

Received 9 February 2017 Revised 12 April 2017 Accepted 31 May 2017

Journal of Rhinology

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.

Keywords: Foreign body, Orbit, Abscess, Wood

Figures and Tables

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.

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).

Fig. 3

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

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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