{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:40:26Z","timestamp":1756377626721,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,11]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>Transorbital penetrating foreign bodies are extremely rare in children and may penetrate the cavernous sinus or the underlying internal carotid artery. Parent vessel sacrifice and temporary balloon occlusion are feasible options for managing arterial injury during removal of the foreign body. Even in the absence of arterial injury, the ophthalmologist may encounter significant bleeding from the cavernous sinus deep in their operative field that is difficult to control. We present a case of a 6-year-old child with a stick penetrating the left superior orbit to enter the cavernous sinus but sparing the internal carotid artery. We describe the first reported experience of prophylactic coil embolisation of the cavernous sinus to minimise intraoperative bleeding during transorbital removal of a foreign body with an excellent clinical outcome.<\/jats:p>","DOI":"10.1136\/bcr-2020-237301","type":"journal-article","created":{"date-parts":[[2020,12,13]],"date-time":"2020-12-13T23:30:40Z","timestamp":1607902240000},"page":"e237301","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Cavernous sinus embolisation prior to removal of penetrating foreign body in a 6-year-old child"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3431-5647","authenticated-orcid":false,"given":"Kartik D","family":"Bhatia","sequence":"first","affiliation":[{"name":"Department of Medical Imaging, Children\u2019s Hospital at Westmead, Westmead, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heath","family":"French","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Children\u2019s Hospital at Westmead, Westmead, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemma","family":"Olsson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Children\u2019s Hospital at Westmead, Westmead, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishna","family":"Tumuluri","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Children\u2019s Hospital at Westmead, Westmead, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,12,13]]},"reference":[{"key":"2025082803151188000_13.12.e237301.1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.5693\/djo.04.2012.06.001","article-title":"Diagnosis and treatment of penetrating orbital cranial foreign body injuries","volume":"18","author":"Lefebvre","year":"2012","journal-title":"Digit J Ophthalmol"},{"key":"2025082803151188000_13.12.e237301.2","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000010706","article-title":"Complications in transorbital penetrating injury by bamboo branch: a case report","volume":"97","author":"Feng","year":"2018","journal-title":"Medicine"},{"key":"2025082803151188000_13.12.e237301.3","doi-asserted-by":"crossref","first-page":"951","DOI":"10.3109\/02699052.2013.775502","article-title":"The surgical management of a penetrating orbitocranial injury with a bakelite foreign body reaching the brain stem","volume":"27","author":"Xu","year":"2013","journal-title":"Brain Inj"},{"key":"2025082803151188000_13.12.e237301.4","doi-asserted-by":"crossref","first-page":"E1240","DOI":"10.1227\/01.NEU.0000140991.82075.01","article-title":"Temporary balloon occlusion of the cavernous carotid artery for removal of an orbital and intracranial foreign body: case report","volume":"55","author":"Cunningham","year":"2004","journal-title":"Neurosurgery"},{"key":"2025082803151188000_13.12.e237301.5","doi-asserted-by":"crossref","first-page":"611.e1","DOI":"10.1016\/j.wneu.2016.09.021","article-title":"Transnasal penetration of a Ballpoint Pen: case report and review of literature","volume":"96","author":"Nguyen","year":"2016","journal-title":"World Neurosurg"},{"key":"2025082803151188000_13.12.e237301.6","first-page":"3","article-title":"Management of orbital-cranial trauma","volume":"7","author":"Wesley","year":"1987","journal-title":"Adv Ophthalmic Plast Reconstr Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237301","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:15:19Z","timestamp":1756376119000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":6,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12,13]]},"published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1136\/bcr-2020-237301"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237301","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,12]]}}}