Removal of a melee weapon forgotten in the orbital cavity: case report

ABSTRACT Facial aggressions perpetrated with melee weapons cause injuries that are difficult to treat. Possible aesthetic-functional sequels can cause irreparable damage to the patients. This study presents a case of a patient who suffered physical aggression resulting in a fracture caused with a knife in the orbital cavity that had not been diagnosed during emergency healthcare. After nine months of the primary trauma, the patient developed a fistula in the eyelid region due to infection. The surgery for removal of the foreign body was performed under general anaesthesia and the object was removed through subtarsal approach without causing structural damage to the patient. After satisfactory tissue healing, the treatment was discontinued.

摘要：持近战武器（melee weapons）实施的面部暴力袭击所造成的创伤往往难以治疗，其可能引发的容貌与功能后遗症，会对患者造成不可逆的损伤。本研究报告一例病例：患者遭受暴力袭击后，被刀具造成眶腔（orbital cavity）骨折，但该伤情在急诊医疗（emergency healthcare）过程中未被确诊。原发创伤发生九个月后，该患者因感染在眼睑区域形成瘘管（fistula）。术者采用全身麻醉（general anaesthesia）实施异物取出术，经睑下入路（subtarsal approach）成功取出异物，未对患者造成结构损伤。待患者组织愈合情况良好后，终止了治疗。