RESUMO
La penetración de un cuerpo extraño en el espacio orbitario intraconal plantea un desafío quirúrgico debido a su ubicación profunda detrás del globo y cercana al nervio óptico. Presentamos un caso de un perdigón alojado en el ápex orbitario en el que se realizó una orbitotomía superolateral a través de un abordaje coronal para su extracción. Esta técnica craneofacial adicional es segura para acceder a la zona lateral intraconal en el caso inusual de necesitar extraer un cuerpo extraño orbitario
A foreign body penetrating into the intraconal orbital compartment poses a surgical challenge because of its deep location behind the globe and near the optic nerve. We present a case of an air gun pellet lodged into the orbital apex, which was removed via superolateral orbitotomy through coronal incision. This additional craniofacial technique is a safe procedure to access the lateral aspect of the intraconal compartment in the unusual event of having to remove an orbital foreign body
Assuntos
Humanos , Feminino , Adulto , Órbita/lesões , Órbita/cirurgia , Exoftalmia/diagnóstico por imagem , Ambliopia/complicações , Procedimentos Neurocirúrgicos/métodos , Nervo Óptico/diagnóstico por imagem , Órbita/diagnóstico por imagem , Combinação Amoxicilina e Clavulanato de Potássio/uso terapêutico , Inflamação/tratamento farmacológico , Hemorragia/tratamento farmacológicoRESUMO
A foreign body penetrating into the intraconal orbital compartment poses a surgical challenge because of its deep location behind the globe and near the optic nerve. We present a case of an air gun pellet lodged into the orbital apex, which was removed via superolateral orbitotomy through coronal incision. This additional craniofacial technique is a safe procedure to access the lateral aspect of the intraconal compartment in the unusual event of having to remove an orbital foreign body.
