Minimally invasive treatment of transorbital penetrating injury of skull base and cavernous sinus - A case report

Introduction. A transorbital intracranial injury with a foreign body can be a very complex and controversial therapeutic problem. The orbit's content is susceptible to penetrating trauma, and neurovascular skull base struc-tures are at high risk from injury. There are some tradi-tional cranial surgical approaches and more recently reported different endoscopic approaches for treating this kind of injury. Case report. We presented a case of a 30 year-old male who had an accident at work when a piece of wood hit him in his head and entered through the medial aspect of his left orbit with skull base and cavern-ous sinus injury. Rapid and complete radiological and clinical assessments were performed, and the patient was treated in a minimally invasive manner. The foreign body was manually extracted with an endoscopic and endovas-cular team ready to treat adverse events. No postopera-tive complications were reported, and visual acuity in-creased at the one-month follow-up. Conclusion. Penetrating wounds of the orbit represent a challenge that re-quires a multidisciplinary assessment and well-organized management. Combined endoscopic minimally invasive approaches should be considered during the treatment of this kind of injury.