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Transorbital penetrating head injury by a wooden chopstick in the cavernous sinus: a case report and literature review

Yamazaki, Daisuke Ogihara, Naoki Yako, Takehiro Fujii, Yu Hanaoka, Yoshiki Kurokawa, Toru Horiuchi, Tetsuyoshi 名古屋大学

2023.02

概要

Penetrating head injury (PHI) is a relatively rare condition accounting for 0.4% of all head
trauma.1 Particularly, transorbital penetrating injuries represent 24% of PHIs in adults and 45%
of PHIs in children.2 Although early surgical treatment for the transorbital penetrating injury is
critical due to the high rates of cerebral complications, surgical approaches are varied based on
the location of the fragment in the cranium, to expose and remove foreign bodies safely.3 Four
cases of transorbital penetrating injuries have been previously reported where the foreign body had
Received: January 5, 2022; accepted: March 15, 2022
Corresponding Author: Daisuke Yamazaki, MD
Department of Neurosurgery, Shinshu University School of Medicine,
3-1-1 Asahi, Matsumoto 390-8621, Japan
Tel: +81-263-37-2690, Fax: +81-263-37-0480, E-mail: dyamazaki1218@shinshu-u.ac.jp
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参考文献

1 Borkar SA, Garg K, Garg M, Sharma BS. Transorbital penetrating cerebral injury caused by a

wooden stick: surgical nuances for removal of a foreign body lodged in cavernous sinus. Childs Nerv Syst.

2014;30(8):1441–1444. doi:10.1007/s00381-014-2364-0.

2 Mzimbiri JM, Li J, Bajawi MA, Lan S, Chen F, Liu J. Orbitocranial low-velocity penetrating injury: a

personal experience, case series, review of the literature, and proposed management plan. World Neurosurg.

2016;87:26–34. doi:10.1016/j.wneu.2015.12.063.

3 Sun G, Yagmurlu K, Belykh E, Lei T, Preul MC. Management strategy of a transorbital penetrating pontine

injury by a wooden chopstick. World Neurosurg. 2016;95:622.e7-622.e15. doi:10.1016/j.wneu.2016.07.104.

4 Parajuli A, Bastola J, Shrestha GB, Shrestha JB. A case of transorbital intracranial injury presenting with

subtle neurological deficit. Nepal J Ophthalmol. 2015;7(14):186–190. doi:10.3126/nepjoph.v7i2.14977.

5 Avraham E, Smolikov A, Smolyakov R, et al. Minimally invasive subtemporal intradural approach for

penetrating orbitocranial injury by wooden foreign body into the lateral wall of the cavernous sinus. Front

Surg. 2020;7:533–567. doi:10.3389/fsurg.2020.533567.

6 Hermann AL, Lecler A. Post-traumatic retained foreign body in the cavernous sinus. Interdiscip Neurosurg.

2021;23:100959. doi:10.1016/j.inat.2020.100959.

7 Matsuyama T, Okuchi K, Nogami K, Hata M, Murao Y. Transorbital penetrating injury by a chopstick – case

report. Neurol Med Chir (Tokyo). 2001;41(7):345–348. doi:10.2176/nmc.41.345.

8 Samuthrat T, Ye K, Tong Y. Transoral intracranial injury via middle skull base by a blunt chopstick in a

child. World Neurosurg. 2017;103:952.e11–952.e17. doi:10.1016/j.wneu.2017.04.084.

References End

Nagoya J. Med. Sci. 85. 179–184, 2023

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doi:10.18999/nagjms.85.1.179

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