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KMID : 0358820050320010131
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2005 Volume.32 No. 1 p.131 ~ p.134
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Clinical Experience of Foreign Body Granuloma in the Apex of Orbit
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백혜원/Paik HW
최종우/정현권/이백권/안상태/Choi JW/Chong HK/Lee PK/Ahn ST
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Abstract
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It is often difficult to identify and localize intraorbital foreign bodies despite of modern high-resolution imaging investigation. Especially, posteriorly located foreign bodies have increased risks of morbidity that surgical approach is often complicated. No matter how trivial it seems, retained foreign body, particularly organic in nature, may give rise to severe orbital and cerebral complications. High clinical suspicion, proper diagnostic studies, timely referral to a skilled orbital surgeon are mandatory.
We report a case of intraorbital wooden foreign body that required two separate exploration for removal. Initial exploration failed to identify and locate the foreign body completely. After the operation, fistula formation and purulent discharge were developed and the imaging investigation results were equivocal, complicating the management. A second exploration yielded multiple intraorbital wooden foreign body in the apex of orbit. The patient fully recovered without complication. The evaluations and the details of management strategy are discussed.
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KEYWORD
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