Endoscopy-assisted extraction of orbital and nasal foreign body

Yu-Te Huang; Wei-Hsun Kung; Cheng-Hsien Chang; Wei-Ning Ku; Peng-Tai Tien; Chun-Chi Chiang; Yi-Yu Tsai

doi:10.4103/tjo.tjo_47_20

Endoscopy-assisted extraction of orbital and nasal foreign body

Taiwan J Ophthalmol. 2020 Oct 5;11(4):421-424. doi: 10.4103/tjo.tjo_47_20. eCollection 2021 Oct-Dec.

Authors

Yu-Te Huang¹, Wei-Hsun Kung¹, Cheng-Hsien Chang^{1

2}, Wei-Ning Ku¹, Peng-Tai Tien¹, Chun-Chi Chiang^{1

2}, Yi-Yu Tsai^{1

2}

Affiliations

¹ Department of Ophthalmology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
² Department of Optometry, College of Medical and Health Sciences, Asia University, Taichung, Taiwan.

Abstract

Penetrating orbital injury with a foreign body is a complex problem that requires an interdisciplinary therapeutic approach. Conventionally, an external approach using either transconjuntival or transseptal entry is used by an ophthalmologist. However, there is a risk of damage to the optic nerve and orbital tissue using only the traditional approach. This study concerns a 36-year-old male who has an intra-orbital foreign body (OrbFB). Timely three-dimensional reconstruction computed tomography scan demonstrated an 8-cm-long intra-OrbFB adjacent to the optic nerve penetrating to the contralateral nasal cavity. Endoscopic inspection confirmed a chopstick fragment. Assisted by transnasal endoscopy, the chopstick penetrating from the orbit to the nasal cavity was smoothly removed. Nasal endoscopy is useful for an ophthalmologist in removing foreign body in the orbit.

Keywords: External and endoscopic approach; intra-orbital foreign body; transnasal endoscopic orbital surgery.

Publication types

Case Reports