Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report

A transorbital penetrating injury by a foreign body is an extremely rare type of injury, and its severity is often difficult to estimate by examination of the superficial wound alone. Thus, such injuries are challenging for neurosurgeons to investigate and manage. We herein present a peculiar case i...

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Main Authors: Tengyue Huang, Jun Ling, Ming Liu, Chuanzhen Qiu, Guanfu Ding, Jun Huang, Boris Krischek, Shaochun Yang, Feng Zheng
Format: Article
Language:English
Published: SAGE Publishing 2020-10-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060519886210
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author Tengyue Huang
Jun Ling
Ming Liu
Chuanzhen Qiu
Guanfu Ding
Jun Huang
Boris Krischek
Shaochun Yang
Feng Zheng
author_facet Tengyue Huang
Jun Ling
Ming Liu
Chuanzhen Qiu
Guanfu Ding
Jun Huang
Boris Krischek
Shaochun Yang
Feng Zheng
author_sort Tengyue Huang
collection DOAJ
description A transorbital penetrating injury by a foreign body is an extremely rare type of injury, and its severity is often difficult to estimate by examination of the superficial wound alone. Thus, such injuries are challenging for neurosurgeons to investigate and manage. We herein present a peculiar case involving a 3-year-old girl with a penetrating transorbital skull-base injury caused by a coloring pencil and discuss the anatomical location of the foreign body, radiological examination findings, diagnosis, and treatment strategy. The pencil was completely removed by manual extraction. Follow-up investigations confirmed a good outcome. Multidisciplinary cooperation, radiological examination, correct diagnosis, timely treatment, and detailed follow-up studies are necessary to manage penetrating transorbital skull-base injuries caused by foreign bodies. The orbital walls are very thin in children, and the orbital roof and superior orbital fissure are often penetrated by foreign bodies in cases such as that described herein. The anatomical location of the foreign body influences the clinical management strategy.
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spelling doaj.art-eabf573991cc49409263a1ac93e9f7602022-12-21T19:07:36ZengSAGE PublishingJournal of International Medical Research1473-23002020-10-014810.1177/0300060519886210Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case reportTengyue HuangJun LingMing LiuChuanzhen QiuGuanfu DingJun HuangBoris KrischekShaochun YangFeng ZhengA transorbital penetrating injury by a foreign body is an extremely rare type of injury, and its severity is often difficult to estimate by examination of the superficial wound alone. Thus, such injuries are challenging for neurosurgeons to investigate and manage. We herein present a peculiar case involving a 3-year-old girl with a penetrating transorbital skull-base injury caused by a coloring pencil and discuss the anatomical location of the foreign body, radiological examination findings, diagnosis, and treatment strategy. The pencil was completely removed by manual extraction. Follow-up investigations confirmed a good outcome. Multidisciplinary cooperation, radiological examination, correct diagnosis, timely treatment, and detailed follow-up studies are necessary to manage penetrating transorbital skull-base injuries caused by foreign bodies. The orbital walls are very thin in children, and the orbital roof and superior orbital fissure are often penetrated by foreign bodies in cases such as that described herein. The anatomical location of the foreign body influences the clinical management strategy.https://doi.org/10.1177/0300060519886210
spellingShingle Tengyue Huang
Jun Ling
Ming Liu
Chuanzhen Qiu
Guanfu Ding
Jun Huang
Boris Krischek
Shaochun Yang
Feng Zheng
Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report
Journal of International Medical Research
title Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report
title_full Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report
title_fullStr Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report
title_full_unstemmed Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report
title_short Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report
title_sort penetrating transorbital injury by a coloring pencil in a 3 year old child a case report
url https://doi.org/10.1177/0300060519886210
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