Traumatic intraconal foreign body: Report of an injury corrected with combined surgical and endoscopic treatment

Daniele Marchioni, Dario Bertossi, Davide Soloperto, Luca Bianconi, Pasquale Procacci, Pier Francesco Nocini, Bizhan Aarabi, Richard Rodgers, Richard Dalyai, Jack Jallo

Research output: Contribution to journalArticle

1 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)14-18
Number of pages5
JournalOperative Neurosurgery
Volume12
Issue number1
DOIs
StatePublished - 2016

Keywords

  • Endoscopic orbit surgery
  • Extracranial optic canal decompression
  • Head trauma
  • Traumatic optic neuropathy

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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    Marchioni, D., Bertossi, D., Soloperto, D., Bianconi, L., Procacci, P., Nocini, P. F., Aarabi, B., Rodgers, R., Dalyai, R., & Jallo, J. (2016). Traumatic intraconal foreign body: Report of an injury corrected with combined surgical and endoscopic treatment. Operative Neurosurgery, 12(1), 14-18. https://doi.org/10.1227/NEU.0000000000001150