Numerous transorbital wooden foreign bodies in the sphenoid sinus

A very rare case of numerous transorbital wooden foreign bodies penetrating into the sphenoid sinus in a 47-year-old male is reported. His right eye w as nonreactive to light, and the oculomotor, trochlear and abducens nerves were completely disturbed. Although a minor injury was observed on the inne r side of the right eyebrow, the wound was not serious or infectious. Compu ted tomographic scanning of the orbit and parasinus revealed an isodense li near shadow to muscle and an irregular shadow of the lamina papyracea. Howe ver, the findings were difficult to discriminate from an optic canal fractu re preoperatively. We detected foreign bodies penetrating the optic nerve r ise, which were successfully removed in combination with an endoscopic tran sethmoidal and transorbital approach. Various and careful imaging examinati ons are recommended to diagnose and manage paraorbital trauma, when a penet rating wound of the face is observed.