A CASE OF SELF-INFLICTED INTRAORBITAL INJURY - WOODEN FOREIGN-BODY INTRODUCED INTO THE ETHMOIDAL SINUS

A patient with an intraorbital wooden foreign body is presented. A 43- year-old schizophrenic male patient purposely introduced a twig throug h his left medial canthus and into the orbital cavity 6 months before presentation. Magnetic resonance imaging showed a well-delineated intr aorbital object that partially penetrated the ethmoidal sinus through the medial orbital wall. Under general anesthesia, a 55-mm-long and 6- mm-diameter twig was removed through an incision along the sulcus palp ebromalaris. Thick capsule formation around the foreign body, fibrosis of the adjacent tissues, and severe infection were observed. Diagnosi s and management of intraorbital foreign bodies are discussed.