Dilemma of Retained Intraorbital Fragment of Pencil

Juvenile injuries by intraorbital foreign body in extremities are common and usually trivial (1) but they may lead to debilitating sequels in the head and neck. Because of their availability in comparison to other sources of trauma, accidental injuries may occur while children play with their friend...

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Main Authors: Mohammad Yaser Kiarudi, Aliakbar Saber Moghaddam, Mahsa Sarabi, Seyed Hossein Ghavami Shahri
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2022-09-01
Series:International Journal of Pediatrics
Subjects:
Online Access:https://ijp.mums.ac.ir/article_20865_3bcf3196aae1d56d7b4b01600816971d.pdf
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author Mohammad Yaser Kiarudi
Aliakbar Saber Moghaddam
Mahsa Sarabi
Seyed Hossein Ghavami Shahri
author_facet Mohammad Yaser Kiarudi
Aliakbar Saber Moghaddam
Mahsa Sarabi
Seyed Hossein Ghavami Shahri
author_sort Mohammad Yaser Kiarudi
collection DOAJ
description Juvenile injuries by intraorbital foreign body in extremities are common and usually trivial (1) but they may lead to debilitating sequels in the head and neck. Because of their availability in comparison to other sources of trauma, accidental injuries may occur while children play with their friends. Injuries by pencils are special types of intraorbital foreign body, the final outcome of which is dependent to concurrent injuries of the ocular and also neurologic structure and comorbiditie. Orbital injury requires comprehensive evaluation, especially in child victims when there is not sufficient information regarding trauma mechanism and the intraorbital foreign body should be ruled out before any closure of wounds, as shown in the sample case presented here. In school age children with a history of falling, intraorbital fragments of pencils should be kept in mind. Preoperative information about the true number and exact location of retained fragments is paramount for an appropriate management. When there is high suspicion for retained foreign body, further detailed studies with CT and if needed MR scans and in selected cases plain X- ray are very helpful.
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spelling doaj.art-392c44809dd64ff28c0a41272f6304622022-12-22T04:23:24ZengMashhad University of Medical SciencesInternational Journal of Pediatrics2345-50472345-50552022-09-01109167581676510.22038/ijp.2022.63984.486020865Dilemma of Retained Intraorbital Fragment of PencilMohammad Yaser Kiarudi0Aliakbar Saber Moghaddam1Mahsa Sarabi2Seyed Hossein Ghavami Shahri3Assistant professor of ophthalmology, Eye Research Center, Mashhad University of Medical Sciences, Mashhad, IranAssociate professor of Ophthalmology, Eye Research Center, Mashhad University of Medical Sciences, Mashhad, IranResident of radiology, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor of Ophthalmology Department of Ophthalmology, School of Medicine Khatam Al Anbiya Hospital Mashhad University of Medical SciencesJuvenile injuries by intraorbital foreign body in extremities are common and usually trivial (1) but they may lead to debilitating sequels in the head and neck. Because of their availability in comparison to other sources of trauma, accidental injuries may occur while children play with their friends. Injuries by pencils are special types of intraorbital foreign body, the final outcome of which is dependent to concurrent injuries of the ocular and also neurologic structure and comorbiditie. Orbital injury requires comprehensive evaluation, especially in child victims when there is not sufficient information regarding trauma mechanism and the intraorbital foreign body should be ruled out before any closure of wounds, as shown in the sample case presented here. In school age children with a history of falling, intraorbital fragments of pencils should be kept in mind. Preoperative information about the true number and exact location of retained fragments is paramount for an appropriate management. When there is high suspicion for retained foreign body, further detailed studies with CT and if needed MR scans and in selected cases plain X- ray are very helpful.https://ijp.mums.ac.ir/article_20865_3bcf3196aae1d56d7b4b01600816971d.pdforbitforeign bodypencilgraphitect-scan
spellingShingle Mohammad Yaser Kiarudi
Aliakbar Saber Moghaddam
Mahsa Sarabi
Seyed Hossein Ghavami Shahri
Dilemma of Retained Intraorbital Fragment of Pencil
International Journal of Pediatrics
orbit
foreign body
pencil
graphite
ct-scan
title Dilemma of Retained Intraorbital Fragment of Pencil
title_full Dilemma of Retained Intraorbital Fragment of Pencil
title_fullStr Dilemma of Retained Intraorbital Fragment of Pencil
title_full_unstemmed Dilemma of Retained Intraorbital Fragment of Pencil
title_short Dilemma of Retained Intraorbital Fragment of Pencil
title_sort dilemma of retained intraorbital fragment of pencil
topic orbit
foreign body
pencil
graphite
ct-scan
url https://ijp.mums.ac.ir/article_20865_3bcf3196aae1d56d7b4b01600816971d.pdf
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AT seyedhosseinghavamishahri dilemmaofretainedintraorbitalfragmentofpencil