J Rhinol > Volume 24(2); 2017
Journal of Rhinology 2017;24(2):112-117.
Published online November 30, 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, Young Jun Chung
Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University, College of Medicine, Cheonan, Korea. entdocjung@daum.net
지속적인 안와내 염증을 야기한 잔존 목재 이물질의 내시경적 제거
김홍근, 정영준
단국대학교 의과대학 이비인후-두경부외과학교실
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.
Key Words: Foreign body;Orbit;Abscess;Wood


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