Foreign body of the skull base due to transorbital penetrating trauma

1992 ◽  
Vol 107 (6_part_1) ◽  
pp. 800-802 ◽  
Author(s):  
Ron D. Gottlieb ◽  
Lawrence Z. Meiteles ◽  
Arie L. Liebeskind ◽  
Charles P. Kimmelman
Keyword(s):  
Foreign Body ◽  
Skull Base ◽  
Penetrating Trauma

scholarly journals Transorbital penetrating injury of the skull base and cavernous sinus - defining a minimal invasive treatment

2020 ◽  
pp. 106-106
Author(s):  
Bojan Jelaca ◽  
Djula Djilvesi ◽  
Papic Vladimir ◽  
Filip Pajicic ◽  
Milan Lepic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Minimally Invasive ◽  
Skull Base ◽  
Cavernous Sinus ◽  
Penetrating Trauma ◽  
Minimal Invasive ◽  
Surgical Approaches ◽  
Invasive Treatment ◽  
Minimal Invasive Treatment ◽  
Therapeutic Problem

Introduction. A transorbital intracranial injury with a foreign body can be a very complex and controversial therapeutic problem. The orbit's content is susceptible to penetrating trauma, and neurovascular skull base structures are at high risk from injury. There are some traditional cranial surgical approaches, and more recently reported different endoscopic approaches for treating this kind of injury. Case report. We present a case of a 30-year-old male who had an accident at work when a piece of wood hit him in his head and entered through the medial aspect of his left orbit with skull base and cavernous sinus injury. Rapid and complete radiological and clinical assessments were performed, and the patient was treated in a minimally invasive manner. The foreign body was manually extracted with an endoscopic and endovascular team ready to treat adverse events. No postoperative complications were reported, and visual acuity increased at one month follow up. Conclusion. Penetrating wounds of the orbit represent a challenge that requires a multidisciplinary assessment and well-organized management. Combined endoscopic minimally invasive approaches should be considered during the treatment of this kind of injury.

Extremity Trauma: Foreign Bodies and Vascular Injury

2015 ◽  
Author(s):  
David A. Meguerdichian ◽  
John Eicken
Keyword(s):  
Foreign Body ◽  
Vascular Injury ◽  
Foreign Bodies ◽  
Significant Proportion ◽  
Ankle Brachial Index ◽  
Penetrating Trauma ◽  
Trauma Patients ◽  
Peripheral Vasculature ◽  
Extremity Trauma ◽  
Upper And Lower Extremities

It is important for physicians to be mindful of the possibility of a foreign body in the context of extremity trauma. Patients with foreign bodies may not suspect their presence, and a significant proportion of foreign bodies are missed by the initial treating physician. Trauma injuries to the peripheral vasculature can be divided into blunt and penetrating trauma, and can also be classified as occlusive or nonocclusive injuries. This review details the assessment and stabilization, diagnosis, treatment and disposition, and outcomes for patients with foreign body and vascular injuries. Figures show beside ultrasonography using a linear ray probe that demonstrates a foreign body wood splinter in soft tissue, the major arteries of the upper and lower extremities, and measurement of the ankle-brachial index in an injured limb with suspected vascular injury. Tables list supplies needed to perform bedside ultrasound-guided foreign body removal, steps to remove a foreign body under ultrasound guidance, hard and soft signs of arterial injuries, and high-risk orthopedic injuries and their commonly associated vascular injury. This review contains 4 figures, 4 tables, and 51 references.

scholarly journals The use of CT angiography for preoperative evaluation of large foreign body retention following penetrating trauma

2017 ◽  
pp. bcr-2017-219648 ◽  
Author(s):  
Ugochukwu Ihedioha ◽  
Richard P Stevenson ◽  
Nigel Raby ◽  
David B Kingsmore
Keyword(s):  
Foreign Body ◽  
Ct Angiography ◽  
Preoperative Evaluation ◽  
Penetrating Trauma ◽  
Body Retention

scholarly journals Management of an Unusual Intranasal Foreign Body Abutting the Cribriform Plate: A Case Report and Review of Literature

2019 ◽  
Vol 12 ◽  
pp. 117955061985860
Author(s):  
Mingyang L Gray ◽  
Catharine Kappauf ◽  
Satish Govindaraj
Keyword(s):  
Foreign Body ◽  
Skull Base ◽  
Foreign Bodies ◽  
Cribriform Plate ◽  
Sinus Surgery ◽  
Csf Leak ◽  
Intracranial Involvement ◽  
History Of ◽  
Initial Imaging ◽  
The Right

A 35-year-old man with history of schizophrenia presented 3 weeks after placing a screw in his right nostril. Initial imaging showed a screw in the right ethmoid sinus with the tip penetrating the right cribriform plate. On exam, the patient was hemodynamically stable with purulent drainage in the right nasal cavity but no visible foreign body. While most nasal foreign bodies occur in children and are generally removed at the bedside, intranasal foreign bodies in adults tend to require further assessment. The foreign body in this case was concerning for skull base involvement and the patient was brought to the operating room (OR) with neurosurgery for endoscopic sinus surgery (ESS) and removal of foreign body. The screw was removed and the patient recovered with no signs of cerebrospinal fluid (CSF) leak postoperatively. Any concern for skull base or intracranial involvement should call for a full evaluation of the mechanism of injury and intervention in a controlled environment.

scholarly journals Six-year epidemiological analysis of post traumatic endophthalmitis in a Brazilian hospital

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Luis Filipe Nakayama ◽  
Vinicius Campos Bergamo ◽  
Nilva Simeren Bueno de Moraes
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Penetrating Trauma ◽  
Onset Time ◽  
Intraocular Foreign Body ◽  
Time Interval ◽  
Light Perception ◽  
Initial Visual Acuity ◽  
Open Globe ◽  
Better Than

Abstract Background To evaluate the epidemiology of endophthalmitis cases related to ocular trauma, including visual acuity during and 1 year after trauma, source of trauma and method of treatment. Methods A retrospective study analyzed the epidemiological data of patients with a clinical presentation of endophthalmitis after ocular penetrating trauma between January 2012 and January 2017 at Escola Paulista de Medicina/UNIFESP, a hospital in São Paulo, SP, Brazil. Results A total of 453 patients with antecedent open globe trauma were evaluated, among these, 30 patients with suspected endophthalmitis. All patients were male. The time interval between trauma and ophthalmological evaluation and collection of vitreous and aqueous material was 1 day in 36.66%, 2–7 days in 43.44%, 7–14 days in 10% and more than 15 days in 10% of patients; 66.66% had positive cultures. 11 patients had intraocular foreign body. One year after trauma, visual acuity was classified as no light perception (NLP) in 33.33%, light perception in 6.66%, hand motion in 13.33%, counting fingers in 13.33%, and better than 20/400 in 20% of patients. Considering presence of intraocular foreign body, initial visual acuity and symptoms onset time, only initial visual acuity showed as better prognostic factor in final visual acuity. Conclusion Endophthalmitis is a severe ocular inflammatory condition that may lead to irreversible vision loss. Initially only one patient had visual acuity of NLP, but after 1 year, 33% showed visual acuity of NLP, and only 20% had visual acuity better than 20/400, what is consistent with a severe infection with a guarded prognosis. The high incidence of endophthalmitis after ocular penetrant trauma justifies distinct treatment and greater attention.

scholarly journals Transoral Penetrating Trauma to the Skull Base

2019 ◽  
Vol 99 (2) ◽  
pp. 114-116 ◽  
Author(s):  
Jaclyn Klimczak ◽  
Ashley Kelley ◽  
Ashley Guthrie ◽  
Erick Yuen ◽  
Tali Lando
Keyword(s):  
Skull Base ◽  
Penetrating Trauma

Transorbital penetration of the skull base with an occult foreign body

2005 ◽  
Vol 23 (7) ◽  
pp. 901-902 ◽  
Author(s):  
D.J. Verret ◽  
R. Defatta ◽  
Yadranko Ducic ◽  
D.J. Verret ◽  
R. Defatta ◽  
...  
Keyword(s):  
Foreign Body ◽  
Skull Base

scholarly journals Endoscopic Assisted Navigation Removal of Large Skull Base Wooden Penetrating Foreign Body

2021 ◽  
Author(s):  
Amanda Almeida ◽  
Eduardo Couto ◽  
Laise Silveira ◽  
Carlos Chone
Keyword(s):  
Foreign Body ◽  
Skull Base ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Septal Cartilage ◽  
Endoscopic Approach ◽  
Invasive Technique ◽  
Cartilage Graft ◽  
Assisted Navigation ◽  
Less Invasive

Penetrating orbitocranial trauma caused by foreign bodies requires prompt intervention. Nasal endoscopic approach is a less invasive technique. We describe an unusual case of a large skull base wooden penetrating foreign body submitted to this approach, in which a septal cartilage graft was used to reconstruct the medial orbit wall.

scholarly journals A case of esophageal perforation: Clinical and diagnostic management in emergency medicine

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Marco Di Serafino ◽  
Maurizio Martorano ◽  
Pamela Delmonaco ◽  
Chiara Gullotto ◽  
Andrea Baglioni ◽  
...  
Keyword(s):  
Foreign Body ◽  
Esophageal Perforation ◽  
Delayed Diagnosis ◽  
Penetrating Trauma ◽  
Foreign Body Ingestion ◽  
Delay In Diagnosis ◽  
Diagnostic Management ◽  
Esophagus Perforation ◽  
Boerhaave Syndrome ◽  
Diagnostic Work

Esophageal perforation is a welldefined and severe clinical condition. The associated mortality rates range between 5% and 40% and are worsened by delayed diagnosis. Rapid diagnosis and therapy provide the best chance for survival; however, a delay in diagnosis is common, resulting in substantial morbidity and mortality. There are several aetiologies of esophagus perforation. Most esophageal ruptures are secondary to medical instrumentation. Other causes are Boerhaave syndrome, toxic ingestions and radiation, foreign body ingestion, penetrating trauma, and, rarely, blunt chest trauma. We reported the clinical management and the diagnostic work-up case of esophagus perforation due to the foreign body ingestion.

Intraocular foreign body and traumatic cataract removal 65 years after penetrating trauma

2020 ◽  
pp. 112067212090202
Author(s):  
John XH Wong ◽  
Ehud I Assia
Keyword(s):  
Foreign Body ◽  
Traumatic Injury ◽  
Anterior Segment ◽  
Penetrating Trauma ◽  
Intraocular Foreign Body ◽  
Traumatic Cataract ◽  
Ethical Considerations ◽  
Occlusion Time ◽  
Reconstruction Surgery ◽  
Visual Potential

We report a case of successful intraocular foreign body/traumatic cataract removal and anterior segment reconstruction surgery of a patient’s eye that suffered penetrating injury 65 years earlier. Surgery was not recommended by ophthalmologists that she had earlier consulted. The patient opted for surgery to improve cosmesis due to leukocoria, but the level of regained vision exceeded expectations of both the patient and the surgeon. This case adds further evidence that the duration of occlusion time has no effect on visual potential in patients out of amblyogenic age. The ethical considerations of operating on such an eye with poor prognosis after traumatic injury are also discussed. To our knowledge, our patient has the longest reported duration (65 years) between the time of injury and successful surgery with good outcome.

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