Transnasal, Transethmoidal Endoscopic Removal of a Foreign Body in the Medial Extraconal Orbital Space

  1. Escobar Montatixe, Diego 1
  2. Villacampa Aubá, José Miguel 1
  3. Sánchez Barrueco, Álvaro 1
  4. Sobrino Guijarro, Beatriz 2
  5. Cenjor Español, Carlos 1
  1. 1 Department of Otolaryngology, Head and Neck Surgery, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain
  2. 2 Department of Neuroradiology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain
Revista:
Case Reports in Otolaryngology

ISSN: 2090-6765,  2090-6773

Año de publicación: 2016

Volumen: 2016

Páginas: 1-4

Tipo: Artículo

DOI: 10.1155/2016/1981456 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Case Reports in Otolaryngology

Resumen

Intraorbital foreign bodies are located within the orbit but outside the ocular globe. Though not uncommon, removal of these objects poses a challenge for surgeons. External approaches have been the most frequently used but are associated with increased complications and morbidity. An endoscopic endonasal approach can be an appropriate and less complicated technique in these cases. We report a case of a chronic intraorbital foreign body located within the medial extraconal space lateral to the lamina papyracea and behind the lacrimonasal duct, which was successfully removed using a transnasal, transethmoidal endoscopic technique. Neither postoperative complications nor ocular impairment was reported. The patient improved and remains asymptomatic. The transnasal transethmoidal endoscopic approach can be used as a safer and less invasive alternative when removing foreign bodies from the medial orbital compartment.

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