Transorbital Penetrating Injuries Research Articles

Minor Traumas with Major Consequences: Penetrating Transorbital Injuries with Sharp Objects

Transorbital penetrating injuries are rare but can cause severe life-threatening intracranial injuries to the brain, brainstem, or internal carotid artery. They often present dramatically with an obvious trauma and extensive collateral damage to surrounding structures [1]. However, some injuries are subtle, with a seemingly trivial trauma and little or no obvious damage to the surrounding tissues. These innocuous injuries carry the risk of being overlooked and the extent of the injury not being recognized. Very rarely are isolated third and sixth nerve palsies caused by penetrating trauma [2], [3]. We present two rare cases of penetrating transorbital traumas leading to third and sixth nerve palsies.

Orbital Apex Syndrome and Carotid Artery Injury Associated with Transorbital Stab Injury

Transorbital penetrating injuries are particularly rare in the adult population. We present a case of TOPI sustained in an assault using a ballpoint pen-with concomitant transmaxillary injury due to a pencil stab wound-and a review of the literature.

Clinical Curiosity: Transnasal Head Trauma Caused by a Toilet Paper Holder

The risk of severe head injury during a seizure is usually small. Penetrating bony injuries to the skull caused by a fall on a sharp object during a seizure account for less than 3% of all ictal head injuries. Only few reports have been published on transoral, transnasal, and transorbital penetrating injuries suffered by patients who fell during a seizure. We report on a case of transnasal penetrating injury extending to the skull base and its treatment in a patient who fell on a toilet paper holder.

Patient Survival after a Very Deep Penetrating Orbitocranial Injury.

Patient Survival after a Very Deep Penetrating Orbitocranial Injury.

Penetrating trans-orbital injury from a brush handle lodged in the infra-temporal fossa.

Penetrating trans-orbital injury from a brush handle lodged in the infra-temporal fossa.

Transorbital penetrating cerebral injury caused by a wooden stick: surgical nuances for removal of a foreign body lodged in cavernous sinus

Penetrating head injury (PHI) is rare in civilian population and is mostly caused by low-velocity modes. A transorbital penetrating intracranial injury is very rare and more severe than traumatic brain injury. We report a rare case of transorbital penetrating cranial injury caused by a wooden stick. The surgical strategy was planned as the wooden stick was lodged in the right cavernous sinus. The wooden stick was successfully removed. Patient made an uneventful recovery. Transorbital penetrating injuries are uncommon form of injury and require a multidisciplinary approach. No attempt should be made to remove the foreign body without the backup of an operating room because of the possibility that the object may be tamponading an injured vessel. A careful planning and a strict adherence to basic perioperative principles can lead to a satisfactory outcome.

Transorbital stab injury with retained knife: a narrow escape.

Transorbital penetrating injuries are unusual but may cause severe brain damage if cranium is entered. These kinds of injuries are dangerous as the walls of orbit are very thin, hence easily broken by the otherwise innocent objects. Because of the very critical anatomical area involved, these injuries pose a serious challenge to the physicians who first receive them as well as the treating team. These may present as trivial trauma or may be occult and are often associated with serious complications and delayed sequel. Prompt evaluation by utilizing best diagnostic modality available and timely interference to remove them are the key aspects to avoid damage to vital organs surrounding the injury and to minimize the late complications. We report a case of transorbital assault with a 13 centimeter long knife which got broken from the handle and the blade was retained. The interesting aspect is that there was no neurological deficit on presentation or after removal.

Surgical Management of Basilar Artery Laceration Caused by Transorbital Penetrating Injury: Case Report

Transorbital penetrating injuries are rare and present with a heterogeneity of intracranial injury patterns that require individualized therapeutic procedures. In this report, we describe the case of a distal basilar artery laceration in a 16-month-old boy caused by accidental transorbital penetration with a pencil. Surgical removal of the pencil was performed, but hemostasis could only be achieved by clipping the impaired vessel. Adequate diagnostics and an individualized surgical strategy are necessary to deal with these life-threatening injuries.

Supraorbital approach for repair of open anterior skull base fracture

To the authors' knowledge, this is the first report of the use of anterior orbitotomy via the supraorbital eyelid crease to repair a dural tear caused by an orbital roof fracture. When transorbital penetrating injuries occur in children, they are commonly caused by accidental falls onto pointed objects. The authors report on their experience with a 7-year-old girl who fell onto a blunt metal rod hanger that penetrated her left eyelid, traversed superior to the eye globe, and penetrated the orbital roof at a depth of 3-4 cm, lacerating the dura mater and entering the cerebrum. An anterior transpalpebral transorbital approach was used to perform the microsurgical anterior skull base and dural repair. The authors advocate the application of this approach to orbital roof fractures because it provides excellent access to the orbital roof, eliminates the need for more invasive craniotomy, results in a small and well-hidden scar in the eye crease, and overall offers a shorter recovery time with less psychological stress to the patient.

Intracranial complications following transorbital penetrating injuries.

Journal Article Intracranial complications following transorbital penetrating injuries Get access G P Duffy, G P Duffy Consultant Neurosurgeon The Midland Centre for Neurosurgery and Neurology, Warley, Worcs, United Kingdom Search for other works by this author on: Oxford Academic Google Scholar Y S Bhandari Y S Bhandari Surgical Registrar The Midland Centre for Neurosurgery and Neurology, Warley, Worcs, United Kingdom Search for other works by this author on: Oxford Academic Google Scholar British Journal of Surgery, Volume 56, Issue 9, September 1969, Pages 685–688, https://doi.org/10.1002/bjs.1800560912 Published: 08 December 2005

Transorbital penetrating injuries of the skull base: J. Birbe, X. Rodriguez, C. Bassas, G. Raspall

Transorbital penetrating injuries of the skull base: J. Birbe, X. Rodriguez, C. Bassas, G. Raspall