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Personalized multidisciplinary approach of orbital apex foreign body: A case report and literature review

1 Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan
2 Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan

Correspondence Address:
Chih-Feng Lin,
Department of Otolaryngology, National Taiwan University Hospital, No. 7, Chun-Shan S. Road, Taipei 100
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_26_22

Foreign bodies in the intraconal space are unusual, and lodgment at the orbital apex was even more unusual. High-velocity object injuries, such as gunshots or industrial accidents, are the common causes of intraorbital foreign bodies. It is difficult for surgeons to retrieve foreign bodies from the orbital apex as it is a deep, narrow space with critical surrounding structures. The use of an image-guided navigation system improves the accuracy of transnasal endoscopic surgery and causes less damage. We present a case in which a bullet became lodged in the orbital apex and was successfully removed using transnasal endoscopic surgery with the collaboration of otolaryngologists and ophthalmologists. To summarize, orbital apex foreign bodies are harmful, and prompt removal with a personalized multidisciplinary approach is critical.

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