| CASE REPORT |
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| Year : 2017 | Volume
: 7
| Issue : 3 | Page : 107-110 |
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Penetrating orbitocranial injury in a child secondary to fall on a pencil: Operative technique and review of literature
David Okon Udoh1, Vivian Osaguona2, Emmanuel C Obeta3
1 Department of Surgery, Division of Neurological Surgery, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
2 Department of Ophthalmology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
3 Department of Surgery, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
Correspondence Address:
Dr. David Okon Udoh
Department of Surgery, Division of Neurological Surgery, University of Benin Teaching Hospital, P. M. B. 1111, Benin City, Edo State
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ais.ais_25_16
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Orbitocranial penetrating injuries usually present dramatically with the stump of the penetrating object in the wound though occult cases have been reported in which the injury appeared trivial without outward evidence of the penetrating object. We present a child who fell on a pencil and underwent a craniotomy for retrieval of the transorbitocranial penetrating foreign body. A joint neurosurgical and neuroophthalmic evaluation were used in the management. Neuroimaging included computed tomography scan and ocular ultrasound with or without magnetic resonance imaging. In addition, a high index of suspicion is required in seemingly trivial periorbital trauma to prevent devastating and life-threatening complications. Public education on the dangers of children holding potentially harmful schooling and household objects during play is also emphasized.
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