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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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Autores principales: Huang, Tengyue, Ling, Jun, Liu, Ming, Qiu, Chuanzhen, Ding, Guanfu, Huang, Jun, Krischek, Boris, Yang, Shaochun, Zheng, Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607224/
https://www.ncbi.nlm.nih.gov/pubmed/31840553
http://dx.doi.org/10.1177/0300060519886210
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author Huang, Tengyue
Ling, Jun
Liu, Ming
Qiu, Chuanzhen
Ding, Guanfu
Huang, Jun
Krischek, Boris
Yang, Shaochun
Zheng, Feng
author_facet Huang, Tengyue
Ling, Jun
Liu, Ming
Qiu, Chuanzhen
Ding, Guanfu
Huang, Jun
Krischek, Boris
Yang, Shaochun
Zheng, Feng
author_sort Huang, Tengyue
collection PubMed
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 pubmed-76072242020-11-12 Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report Huang, Tengyue Ling, Jun Liu, Ming Qiu, Chuanzhen Ding, Guanfu Huang, Jun Krischek, Boris Yang, Shaochun Zheng, Feng J Int Med Res 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 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. SAGE Publications 2019-12-16 /pmc/articles/PMC7607224/ /pubmed/31840553 http://dx.doi.org/10.1177/0300060519886210 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Huang, Tengyue
Ling, Jun
Liu, Ming
Qiu, Chuanzhen
Ding, Guanfu
Huang, Jun
Krischek, Boris
Yang, Shaochun
Zheng, Feng
Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607224/
https://www.ncbi.nlm.nih.gov/pubmed/31840553
http://dx.doi.org/10.1177/0300060519886210
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