Advances in Oral and Maxillofacial Surgery (Apr 2021)

Case report: Undetected retained orbital wood fragment mimicking orbital cellulitis

  • Helen Katsarelis,
  • Segun Awotesu,
  • Tristan Mcmullan,
  • Philip Ameerally

Journal volume & issue
Vol. 2
p. 100044

Abstract

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Wooden foreign bodies (FBs) within the orbit are difficult to diagnose both clinically and radiologically [1]. In acute settings, wood can be missed on standard computerized tomography (CT) due to its hypodense appearance which can be mistaken for air. If left undetected, wood fragments impose a significant risk of infection [2]. Therefore, its prompt removal, particularly from the head and neck region, is essential.Our case describes a 31-year-old man who presented with a clinical picture of orbital cellulitis post trauma, who was later found to have a large retained fragment of wood, initially undetected on CT orbits.

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