BACKGROUND: Management of penetrating ocular splinter injuries is very controversial. Penetrating wounds of the orbit represent a complex therapeutic problem that requires a multidisciplinary approach. Endoscopic approaches to the orbit are currently performed through the lamina papyracea to access the medial part, or through large orbitotomies to access the lateral part. OBJECTIVE: To describe a novel combined approach to the lateral part of the orbit. METHODS: Clinical and surgical findings of intraorbital foreign body removal are presented. A minimal supraorbital osteotomy was performed, combined with endoscopic intraorbital dissection. RESULTS: The foreign body was removed, no postoperative complications were reported, and visual acuity increased from 2/10 preoperatively, to 8/10 one month after surgery. CONCLUSION: The present technique can be considered a safe and novel surgical approach to access the retrobulbar space and to treat the pathology of this anatomic region.
Traumatic intraconal foreign body: Report of an injury corrected with combined surgical and endoscopic treatment / Marchioni, D.; Bertossi, D.; Soloperto, D.; Bianconi, L.; Procacci, P.; Nocini, P. F.; Aarabi, B.; Rodgers, R. B.; Dalyai, R.; Jallo, J.. - In: OPERATIVE NEUROSURGERY. - ISSN 2332-4252. - 12:1(2016), pp. 14-18. [10.1227/NEU.0000000000001150]
Traumatic intraconal foreign body: Report of an injury corrected with combined surgical and endoscopic treatment
Marchioni D.;Soloperto D.;Bianconi L.;
2016
Abstract
BACKGROUND: Management of penetrating ocular splinter injuries is very controversial. Penetrating wounds of the orbit represent a complex therapeutic problem that requires a multidisciplinary approach. Endoscopic approaches to the orbit are currently performed through the lamina papyracea to access the medial part, or through large orbitotomies to access the lateral part. OBJECTIVE: To describe a novel combined approach to the lateral part of the orbit. METHODS: Clinical and surgical findings of intraorbital foreign body removal are presented. A minimal supraorbital osteotomy was performed, combined with endoscopic intraorbital dissection. RESULTS: The foreign body was removed, no postoperative complications were reported, and visual acuity increased from 2/10 preoperatively, to 8/10 one month after surgery. CONCLUSION: The present technique can be considered a safe and novel surgical approach to access the retrobulbar space and to treat the pathology of this anatomic region.File | Dimensione | Formato | |
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