Case report: Chopstick penetrating into the left orbit and maxillary sinus without patient’s perception

Abstract

Chopsticks are used very common in daily meals of Asian people. It can cause minor trauma during using without attention. But the serious trauma into the structures at the head and neck region is quite rare. Therefore, we would like to report a very rare case-a 24 yrs old male patient with chopstick penetrating into the left orbit destroying the orbit floor and lateral wall of maxillary sinusafter after an accident 3 weeks before admission and was treated with Caldwell-Luc surgery combined with paranasal endoscopy surgery to ensure completely removal of the foreign body and bone fragments.

Highlights

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Chopstick penetrates to the orbit is a very rare case.
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During penetrating in the orbit, chopsticks can break the orbit floor, other structures and leaving the debris.
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Foreign bodies in orbit and maxillary sinus can cause infection and complications if not removing carefully and totally.

1 Introduction

Orbital foreign bodies often occur related to falls or puncture injuries during daily activities, working or fighting [ ]. Foreign bodies such as pieces of wood, chopsticks, metal, tree branches and other sharp objects have become common causes of injury [ ]. During penetration, the foreign body can cause the debris in orbit or maxillary sinus. Therefore, to remove all foreign objects in the orbit, maxillary sinus and nasal cavity, it is necessary to apply Caldwell-Luc surgery combined with endoscopic surgery [ ] (see Figs. 1–5 for the illustrations of doing surgey in this case ).