Davis G A, Holmes A D, Klug G L
Departments of Neurosurgery and Plastic/Craniofacial Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
J Clin Neurosci. 2000 Nov;7(6):545-8. doi: 10.1054/jocn.2000.0692.
A 13 year old Fijian boy sustained a stab wound to the left orbit 3 years ago. It was not appreciated by the treating physicians in Fiji that the plastic pen had crossed from the left orbit, through the nose, right orbit and right optic nerve, into the right middle cranial fossa and lodged in the right temporal lobe and that the pen remained in situ for the past 3 years. The boy presented to Australia with a discharge from the entry wound in his left lower eyelid. The retained foreign body was not detected on computed tomography imaging, but was detected on subsequent magnetic resonance image. A combined neurosurgery/plastic surgery craniofacial approach was undertaken with successful complete removal of the retained pen, and preservation of vision in his only seeing eye.
一名13岁的斐济男孩3年前左眼眼眶被刺伤。斐济的治疗医生当时并未意识到这支塑料笔从左眼眶穿过鼻子、右眼眶和右侧视神经，进入右侧中颅窝，并嵌入右侧颞叶，且这支笔在过去3年一直留在原位。该男孩因左下眼睑伤口有分泌物而前往澳大利亚就诊。计算机断层扫描成像未检测到残留异物，但后续的磁共振成像检测到了。采用神经外科/整形手术联合颅面入路，成功完整取出残留的笔，并保住了他仅有的一只视力正常眼睛的视力。
