Removal of Foreign Bodies in Orbit-Zygomatic-Maxillary Complex

Abstract

Trauma is one of the leading causes of death worldwide. Due to its anatomy and position in the facial skeleton, the orbit becomes a region susceptible to trauma which may also involve the penetration of foreign bodies (FBs). These events can have serious repercussions depending on their extent due to the proximity of the orbit with other noble structures of the face and skull. Because of this, a system of prehospital management of traumas must be established, in order to promote a better prognosis for patients. The present study aims to report the case of a patient suffering from a motorcycle accident with multiple fragments of FBs in the region of orbit-zygomatic-maxillary complex. The emergency surgical removal of the fragments was performed by a multidisciplinary team, involving Ophthalmology and Oral and Maxillofacial Surgery and Traumatology (OMST). Wound cleansing and debridement were performed with subsequent removal of the foreign bodies by the OMST team, in addition to the reduction and fixation of related fractures. As for Ophthalmology, the evisceration of the affected eye was performed due to its anatomical and functional impairment. The patient is 12 months postoperatively, with no aesthetic or functional complaints regarding OMST. The anatomical knowledge of the traumatized region, besides the establishment of the conduct regarding the removal of possible associated foreign bodies are required so that the success of the treatment can be obtained, aiming to minimize the damages to the patient.

Motorcycle-Associated Ocular Injuries: A Narrative Review

“… Yes Neuro Ophthalmic Tatlipinar et al 61 2007 Turkey N/A Case Report N/A To report a case of Purtscher’s retinopathy after severe head trauma in a motorcycle accident. Yes Vitreoretinal Pessoa Neto et al 62 2019 Brazil N/A Case Report N/A To describe the management of a foreign body injury after a motorcycle accident. Yes Orbital Fractures Kapoor et al 63 2020 India N/A Case Report N/A To describe the clinical course of a retained intraorbital foreign body in a patient after a motorcycle crash.…”

“…Ten studies were case reports, 11 were retrospective case series, and two were prospective studies ( Table 1 ). 20 , 21 , 26 , 28 , 31–34 , 37 , 39–41 , 45 , 46 , 55 , 56 , 59 , 62 , 66 , 70 , 71 , 73 , 74 Overall, the findings of these studies provided detailed information regarding the types and sequelae of orbital fractures and the characteristics of those who developed motorcycle-accident associated orbital fractures ( Table 2 ).…”

Penetration of a Wooden Foreign Body into the Zygomaticomaxillary Bone to the Nasal Cavity: Navigation-Guided Successful Treatment

“…Wooden foreign bodies (WFB) can be a good medium for the proliferation of fungi and bacteria due to their porous and organic structure and immediate contact with dust or soil. 2 This increases the risk of infection and paranasal abscesses. In addition, because wood is fragile, it can be broken into multiple pieces when it penetrates and sticks into the bony structure.…”

“…1 In Brazil, it is estimated that the existence of ~200 patients, which would represent 1 case per million inhabitants. 2 Patients with XP have greater than 10,000-fold risk over their lives of developing skin cancer compared with the general population. The patient is predisposed to malignant skin neoplasm in the face, neck, upper trunk, and ocular surfaces.…”

“…Wooden foreign bodies (WFB) can be a good medium for the proliferation of fungi and bacteria due to their porous and organic structure and immediate contact with dust or soil 2…”