Case of an Intraorbital Wooden Foreign Body Penetrating the Maxillary Sinus

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  • 上顎洞に達した眼か内木片異物例
  • リンショウ ジョウガクドウ ニ タッシタ ガンカナイ モクヘン イブツレイ

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Abstract

A 62-year-old man suffered a penetrating injury to his left periorbital region with a wooden foreign body. He consulted an ophthalmologist and plastic surgeon. He was diagnosed with a conjunctival laceration and blowout fracture. His conjunctiva was consequently sutured. One month after injury, he consulted our clinic for diplopia. Severly limited trading in the upper and lower directions were observed.<br>Computed tomography (CT) and Magnetic resonance imaging (MRI) revealed an orbital floor fracture. When we performed an anterior orbitotomy, a 50mm long, 10mm wide wooden foreign body covered with granulation tissue in the orbit was found which had penetrated the maxillary sinus. It was removed from the orbit. In this case, wooden foreign body could not be identified preoperatively.

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