Zentner J, Hassler W, Petersen D
A wooden foreign body penetrating the superior orbital fissure. [Case Reports, Journal Article]
Neurochirurgia (Stuttg) 1991 Nov; 34(6):188-90.
The case of a 12-year-old patient with a wooden foreign body which had penetrated the superior orbital fissure is presented. Using a transethmoidal approach, only some splinters lying in the periorbital soft tissue were removed. The patient became febrile, indicating an infectious complication due to a retained foreign body. This was confirmed by CT scan and MRI demonstrating a main splinter in the superior orbital fissure. Total removal of the wood was achieved via a pterional extradural approach. The difficulties of identifying wooden foreign bodies as well as the topographical problems involved with the approach to the superior orbital fissure are discussed.
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