Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick: A Challenging Case Report
Transorbital and intra-sphenoidal traumas are relatively uncommon, can be challenging to manage, and are associated with a high risk of complications and potentially fatal outcome. Transorbital and intra-sphenoidal trauma pose a medical challenge due to close relationship to delicate and critical an...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2020-10-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/510019 |
| _version_ | 1818825564399599616 |
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| author | Marie-Louise Uhre Hansen Mads Thorsberger Jesper Skovlund Jørgensen Christian von Buchwald |
| author_facet | Marie-Louise Uhre Hansen Mads Thorsberger Jesper Skovlund Jørgensen Christian von Buchwald |
| author_sort | Marie-Louise Uhre Hansen |
| collection | DOAJ |
| description | Transorbital and intra-sphenoidal traumas are relatively uncommon, can be challenging to manage, and are associated with a high risk of complications and potentially fatal outcome. Transorbital and intra-sphenoidal trauma pose a medical challenge due to close relationship to delicate and critical anatomical structures, such as the globe, optic nerve, the ophthalmic internal carotid arteries, and central nervous system. Rapid admission to a level 1 trauma center with a high surgical expertise level is essential to ensure the best possible treatment and outcome. We present a case of a 75-year-old man who had a severe orbital trauma, where a wooden foreign object penetrated the orbit into the sphenoid sinus without penetrating its posterior wall. This case is important because of the rare trauma presentation with a wooden foreign object, which can easily be missed on computed tomography. The case also illustrates the importance of close collaboration between ophthalmologists and rhinologists when challenged with severe orbital sphenoid sinus trauma. |
| first_indexed | 2024-12-19T00:13:46Z |
| format | Article |
| id | doaj.art-1c90481c99b04e88a2f7cc836f8fa683 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-19T00:13:46Z |
| publishDate | 2020-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-1c90481c99b04e88a2f7cc836f8fa6832022-12-21T20:45:56ZengKarger PublishersCase Reports in Ophthalmology1663-26992020-10-0111354054510.1159/000510019510019Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick: A Challenging Case ReportMarie-Louise Uhre HansenMads ThorsbergerJesper Skovlund JørgensenChristian von BuchwaldTransorbital and intra-sphenoidal traumas are relatively uncommon, can be challenging to manage, and are associated with a high risk of complications and potentially fatal outcome. Transorbital and intra-sphenoidal trauma pose a medical challenge due to close relationship to delicate and critical anatomical structures, such as the globe, optic nerve, the ophthalmic internal carotid arteries, and central nervous system. Rapid admission to a level 1 trauma center with a high surgical expertise level is essential to ensure the best possible treatment and outcome. We present a case of a 75-year-old man who had a severe orbital trauma, where a wooden foreign object penetrated the orbit into the sphenoid sinus without penetrating its posterior wall. This case is important because of the rare trauma presentation with a wooden foreign object, which can easily be missed on computed tomography. The case also illustrates the importance of close collaboration between ophthalmologists and rhinologists when challenged with severe orbital sphenoid sinus trauma.https://www.karger.com/Article/FullText/510019wooden foreign objectcomputed tomographytransorbital intra-sphenoidal penetrationfacial traumatraumatic optic neuropathy |
| spellingShingle | Marie-Louise Uhre Hansen Mads Thorsberger Jesper Skovlund Jørgensen Christian von Buchwald Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick: A Challenging Case Report Case Reports in Ophthalmology wooden foreign object computed tomography transorbital intra-sphenoidal penetration facial trauma traumatic optic neuropathy |
| title | Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick: A Challenging Case Report |
| title_full | Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick: A Challenging Case Report |
| title_fullStr | Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick: A Challenging Case Report |
| title_full_unstemmed | Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick: A Challenging Case Report |
| title_short | Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick: A Challenging Case Report |
| title_sort | penetrating orbital sphenoid sinus trauma with a wooden stick a challenging case report |
| topic | wooden foreign object computed tomography transorbital intra-sphenoidal penetration facial trauma traumatic optic neuropathy |
| url | https://www.karger.com/Article/FullText/510019 |
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