Orbitoethmoidal foreign body through traumatic penetrating orbital injury
Kalai Selvie Ponnusamy1, Irfan Mohamad2, Firamir Zulkifli1, Thevagi Maruthamuthu1, Chenthilnathan Periasamy1, Zahirrudin Zakaria1
Foreign bodies in the nasal cavity, paranasal sinuses, and orbit are commonly related to high-velocity maxillofacial injuries. Cases of foreign bodies in paranasal sinuses are very rare. They may present with non-specific symptoms which make them easily neglected during history taking and clinical assessment. High clinical suspicion and radiological assessments are essential in patients with high-velocity insult to rule out the possibility of impalement injury. The course of management is determined by the location and type of foreign body. We share a rare case of metallic foreign bodies in the orbitoethmoidal region which took a combined surgical and conservative course of treatment involving a multidisciplinary team.