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Journal of Medical Case Reports

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Open Access 01-12-2019 | Nerve Injury | Case report

Removal of intraconal bullet through endoscopic transnasal surgery with image-guided navigation system 8 months after injury: a case report

Authors: Chakapan Promsopa, Usaporn Prapaisit

Published in: Journal of Medical Case Reports | Issue 1/2019

Abstract

Background

Lodgment of a bullet within the orbit is uncommon. The decision to remove these objects poses a challenge to surgeons due to a high risk of complications. Currently, endoscopic transnasal surgery with navigator assistance facilitates the localization of foreign bodies allowing their safe removal with minimal surrounding tissue damage or optic nerve injury.

Case presentation

We describe a case of a 26-year-old Thai woman with a chronic intraorbital foreign body located within her medial intraconal space. The chronic intraorbital foreign body was successfully removed by endoscopic transnasal surgery, combined with assistance from a navigation system, 8 months after injury without any damage to her eye or disturbance in vision.

Conclusion

Intraconal foreign bodies, such as bullets, are a chronic problem and should be observed in the long term; prompt surgical removal should be performed if indicated.

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Title: Removal of intraconal bullet through endoscopic transnasal surgery with image-guided navigation system 8 months after injury: a case report
Authors: Chakapan Promsopa
Usaporn Prapaisit
Publication date: 01-12-2019
Publisher: BioMed Central
Keyword: Nerve Injury
Published in: Journal of Medical Case Reports / Issue 1/2019
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-019-2007-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Removal of intraconal bullet through endoscopic transnasal surgery with image-guided navigation system 8 months after injury: a case report

Abstract

Background

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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