Remove broken chopsticks that have been in patient's eye socket for 2 weeks

After nearly 2 hours of surgery, the medical team at Can Tho University of Medicine and Pharmacy Hospital successfully removed a foreign object, a 9 cm long broken chopstick, from the patient's eye socket.

On November 1, Dr. Nguyen Trieu Viet, Head of the Department of Otorhinolaryngology, Can Tho University of Medicine and Pharmacy Hospital, said that the hospital's doctors had just successfully treated a very complicated case of foreign body. The foreign body was a piece of chopstick that had penetrated and remained in the patient's eye socket and maxillary sinus for 2 weeks.

Previously, patient NTT (24 years old) came to the clinic with swelling in the left corner of the eye and pus discharge from the left nostril. According to the patient, 2 weeks after being admitted to the hospital, he was stabbed in the corner of his eye after drinking alcohol with a friend. After that, the patient had symptoms of swelling in the corner of the eye and went for treatment but there was no improvement.

The foreign body was a broken piece of chopstick that had been in the patient's eye socket for 2 weeks.

Through examination, endoscopy and CT scan, doctors determined that the foreign object was very complex, about 9 cm long, penetrating the orbital ethmoidal and lateral nasal septum, and the foreign object was stuck in the nasal ethmoidal. From the endoscopic image, it can be seen that the foreign object is very dangerous. If not detected and intervened promptly, the patient may have an infection that affects vision.

CT scan image shows a complex foreign body about 9 cm long penetrating the orbital cribriform plate and lateral nasal wall, the foreign body is stuck in the patient's nasal cribriform plate.

After consultation, the doctors decided to perform endoscopic surgery combined with open surgery to remove the foreign object, clean the foreign object fragments, and seal the hole in the orbital ethmoidal cavity.

After nearly 2 hours of surgery, the surgical team successfully removed the foreign object, a 9 cm long broken chopstick, as well as bone fragments and fragments of the foreign object; flushed the infected sinus area and sealed the perforated area of ​​the orbital ethmoidal area. After the intervention, the patient was alert, had normal eye movement and vision.

After 2 hours of surgery, the medical team successfully removed the foreign object.

Dr. Nguyen Trieu Viet recommends that patients with injuries caused by foreign objects penetrating the body, regardless of location, need to be treated early to avoid complications such as infection and widespread abscesses that affect function and aesthetics. In particular, injuries caused by foreign objects penetrating the eye area and paranasal sinuses need to be taken to a medical facility for early treatment to avoid serious complications...

Source: https://thanhnien.vn/lay-doan-dua-gay-nam-2-tuan-trong-o-mat-benh-nhan-185241101182734764.htm