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 -