Brock L, Tanenbaum H L
Can J Ophthalmol. 1980 Apr;15(2):70-2.
Two cases of retention of wooden foreign bodies in the orbit are presented. Both patients had a draining fistula. A brain abscess developed in one and a foreign body granuloma in the other. In both cases computerized tomography was very helpful in localizing the foreign bodies and the sequelae. In such cases a subperiosteal surgical approach provides good exposure and minimizes the damage to the orbital contents. A high degree of suspicion of penetration of the orbit is essential in tree branch injuries of the eyelids.
本文报告两例眼眶内木质异物存留病例。两名患者均有引流瘘管。其中一例发生脑脓肿,另一例发生异物肉芽肿。在这两例病例中,计算机断层扫描对于定位异物及其后遗症非常有帮助。在这类病例中,骨膜下手术入路能提供良好的视野,并将对眶内容物的损伤降至最低。对于眼睑树枝状损伤,高度怀疑眼眶穿通至关重要。