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Article Synopsis
  • * A rare case is presented where a wooden splinter became lodged in this area after a patient experienced an eyelid injury and an orbital floor fracture, with imaging not clearly showing the foreign body.
  • * Rapid surgical exploration is crucial, as unidentified foreign bodies can lead to serious complications, and treatment should be customized based on individual circumstances.
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Endoscopic pediatric endonasal retrieval of transorbital projectile: An illustrative multimedia report.

Am J Otolaryngol

December 2023

Department of Otolaryngology - Head and Neck Surgery, University of California San Diego, La Jolla, CA, USA; Division of Pediatric Otolaryngology, Rady Children's Hospital - San Diego, San Diego, CA, USA. Electronic address:

Article Synopsis
  • Air guns, especially BB guns, have become much more powerful, leading to a spike in injuries among children; over 145,000 cases were reported between 2001 and 2011 in the U.S.
  • The study focuses on a surgical technique to treat maxillofacial injuries in kids caused by BB guns.
  • A specific case is outlined where a 13-year-old had a BB gun injury, and the goal was to effectively retrieve the projectile and restore nasal function using a minimally invasive endoscopic method.
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An unusual work-related fatality: the importance of scene investigation combined with autopsy findings.

Forensic Sci Med Pathol

September 2019

Department of Public Health and Pediatrics, Section of Legal Medicine, University of Turin, Corso Galileo Galilei 22, 10126, Torino, Italy.

Transorbital penetrating intracranial injuries are uncommon amongst the civilian population, but they can be found in fatal work-related accidents. An unusual case of accidental fatal penetrating intracranial injury in a 44-year-old man at work is reported. He was working in a building site driving a tractor with a rear- mounted flail mower.

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Transorbital orbitocranial penetrating injuries (TOPIs) are relatively rare, can be caused by high-speed projectile foreign bodies to low-energy trauma (which is rarer), and account for 24% of penetrating head injuries in adults and approximately 45% in children. We report an uncommon nonfatal case of TOPI where a 16-year-old male child sustained injury due to accidental penetration of metal bar into the forehead. A bicoronal flap was raised to remove the metal bar.

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Injury to the Temporal Lobe via Medial Transorbital Entry of a Toothbrush.

J Neurol Surg Rep

June 2013

Division of Neurosurgery, University Medical Center, University of Arizona, Tucson, Arizona, USA.

Objectives Intracranial penetration by foreign bodies entering via the orbit represent an unusual form of traumatic brain injury. Nevertheless, much is at stake with high risk for cranial nerve and neurovascular injury. We present a case where the bristled end of a toothbrush entered the brain as a projectile via the superior orbital fissure and discuss considerations for surgical management.

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