Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick: A Challenging Case Report
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Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick : A Challenging Case Report. / Hansen, Marie Louise Uhre; Thorsberger, Mads; Jørgensen, Jesper Skovlund; Von Buchwald, Christian.
I: Case Reports in Ophthalmology, Bind 11, Nr. 3, 2020, s. 540-545.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Penetrating Orbital Sphenoid Sinus Trauma with a Wooden Stick
T2 - A Challenging Case Report
AU - Hansen, Marie Louise Uhre
AU - Thorsberger, Mads
AU - Jørgensen, Jesper Skovlund
AU - Von Buchwald, Christian
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - Computed tomography
KW - Facial trauma
KW - Transorbital intra-sphenoidal penetration
KW - Traumatic optic neuropathy
KW - Wooden foreign object
U2 - 10.1159/000510019
DO - 10.1159/000510019
M3 - Journal article
C2 - 33250754
AN - SCOPUS:85096018255
VL - 11
SP - 540
EP - 545
JO - Case Reports in Ophthalmology
JF - Case Reports in Ophthalmology
SN - 1663-2699
IS - 3
ER -
ID: 258772213