Endoscopic transnasal approach to remove an intraorbital bullet: systematic review and case report.

IF 2.1 4区 医学 Q2 OTORHINOLARYNGOLOGY Acta Otorhinolaryngologica Italica Pub Date : 2024-08-01 Epub Date: 2024-05-02 DOI:10.14639/0392-100X-N2868
Giacomo Sollini, Alessia Giorli, Matteo Zoli, Paolo Farneti, Giorgio Arena, Fabio Astarita, Diego Mazzatenta, Ernesto Pasquini
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Abstract

Introduction: Intraorbital foreign bodies (IOFBs) represent a clinical challenge: surgical management can be controversial and different strategies have been proposed. When removal is recommended, depending on the location and nature of the IOFB both external and endoscopic approaches have been proposed, with significantly different surgical corridors to the orbit and different morbidities.

Methods: We performed a literature review of cases of IOFBs that received exclusive endoscopic transnasal surgical treatment to evaluate the role of this surgery in these occurrences. We also present a case of an intraorbital intraconal bullet that was successfully removed using an endoscopic transnasal approach with good outcomes in terms of ocular motility and visual acuity.

Results: A limited number of cases of IOFBs have been treated with an exclusive endoscopic transnasal approach. When in the medial compartment, this approach appears to be safe and effective. In our case, two months after surgery the patient showed complete recovery with no significant long-term sequelae.

Conclusions: When feasible, an endoscopic transnasal approach for intraorbital foreign bodies represents a valid surgical technique with optimal outcomes and satisfactory recovery.

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内窥镜经鼻方法取出眶内子弹:系统综述和病例报告。
简介眶内异物(IOFB)是一项临床挑战:手术治疗可能会引起争议,并提出了不同的策略。在建议取出异物时,根据异物的位置和性质,人们提出了外部和内窥镜两种方法,但进入眼眶的手术通道和发病率却大不相同:方法:我们对接受内窥镜经鼻手术治疗的 IOFB 病例进行了文献回顾,以评估这种手术在这些病例中的作用。我们还介绍了一例采用内窥镜经鼻方法成功取出眶内子弹的病例,该病例在眼球运动和视力方面取得了良好的效果:结果:采用内窥镜经鼻方法治疗的眶内子弹数量有限。在内侧区,这种方法似乎安全有效。在我们的病例中,患者在术后两个月完全康复,没有明显的长期后遗症:在可行的情况下,经鼻内窥镜方法治疗眶内异物是一种有效的手术技术,可获得最佳疗效和令人满意的恢复。
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来源期刊
Acta Otorhinolaryngologica Italica
Acta Otorhinolaryngologica Italica OTORHINOLARYNGOLOGY-
CiteScore
3.40
自引率
10.00%
发文量
97
审稿时长
6-12 weeks
期刊介绍: Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini. It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.). The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief. Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.
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