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Case Reports in Otolaryngology
Volume 2016, Article ID 1981456, 4 pages
http://dx.doi.org/10.1155/2016/1981456
Case Report

Transnasal, Transethmoidal Endoscopic Removal of a Foreign Body in the Medial Extraconal Orbital Space

1Department of Otolaryngology, Head and Neck Surgery, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain
2Department of Neuroradiology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

Received 3 September 2016; Accepted 26 October 2016

Academic Editor: Nicolas Perez-Fernandez

Copyright © 2016 Diego Escobar Montatixe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intraorbital foreign bodies are located within the orbit but outside the ocular globe. Though not uncommon, removal of these objects poses a challenge for surgeons. External approaches have been the most frequently used but are associated with increased complications and morbidity. An endoscopic endonasal approach can be an appropriate and less complicated technique in these cases. We report a case of a chronic intraorbital foreign body located within the medial extraconal space lateral to the lamina papyracea and behind the lacrimonasal duct, which was successfully removed using a transnasal, transethmoidal endoscopic technique. Neither postoperative complications nor ocular impairment was reported. The patient improved and remains asymptomatic. The transnasal transethmoidal endoscopic approach can be used as a safer and less invasive alternative when removing foreign bodies from the medial orbital compartment.