Zentner J, Hassler W, Petersen D
Department of Neurosurgery, University of Tübingen.
Neurochirurgia (Stuttg). 1991 Nov;34(6):188-90. doi: 10.1055/s-2008-1053489.
The case of a 12-year-old patient with a wooden foreign body which had penetrated the superior orbital fissure is presented. Using a transethmoidal approach, only some splinters lying in the periorbital soft tissue were removed. The patient became febrile, indicating an infectious complication due to a retained foreign body. This was confirmed by CT scan and MRI demonstrating a main splinter in the superior orbital fissure. Total removal of the wood was achieved via a pterional extradural approach. The difficulties of identifying wooden foreign bodies as well as the topographical problems involved with the approach to the superior orbital fissure are discussed.
本文报告了一例12岁患者，其眼眶上裂被木质异物穿透。采用经筛窦入路，仅取出了位于眶周软组织内的一些碎片。患者出现发热，提示存在因异物残留导致的感染性并发症。CT扫描和MRI证实了这一点，显示眼眶上裂有一根主要的碎片。通过翼点硬膜外入路成功将木质异物全部取出。文中讨论了识别木质异物的困难以及处理眼眶上裂时涉及的局部解剖问题。
