{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:10:53Z","timestamp":1786630253995,"version":"build-2736575974"},"reference-count":14,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,9,7]]},"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>Slingshots or hand catapults, historically used as a military or hunting weapon, are common toys among children and young teenagers. Their use can be dangerous as a strike to the eye or orbit can result in significant injuries including blindness. We describe a rare case of a sino-orbital foreign body caused by a slingshot injury in a young boy. The case was managed by a multidisciplinary team involving ear, nose and throat, ophthalmology and paediatrics, and the foreign body of a metal ball bearing was removed using an endoscopic transnasal approach. Although the patient made a good recovery, the case highlights the danger of slingshot devices misused by children.<\/jats:p>","DOI":"10.1136\/bcr-2022-251214","type":"journal-article","created":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T11:50:35Z","timestamp":1663156235000},"page":"e251214","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Sino-orbital foreign body caused by a slingshot injury in a young boy"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2799-1003","authenticated-orcid":false,"given":"Kenneth","family":"Lai","sequence":"first","affiliation":[{"name":"ENT, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliet","family":"Laycock","sequence":"additional","affiliation":[{"name":"ENT, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Bates","sequence":"additional","affiliation":[{"name":"Ophthalmology, Maidstone and Tunbridge Wells NHS Trust, Maidstone, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Hamann","sequence":"additional","affiliation":[{"name":"ENT, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,9,14]]},"reference":[{"key":"2025082700571724000_15.9.e251214.1","article-title":"Gunshot-like wound caused by sling shot injury - a case report","volume":"8","author":"Vinuthinee","year":"2015","journal-title":"Int Med Case Rep J"},{"key":"2025082700571724000_15.9.e251214.2","doi-asserted-by":"crossref","first-page":"404","DOI":"10.3109\/01676830903074087","article-title":"Image guidance removal of a foreign body in the orbital apex","volume":"28","author":"Koo Ng","year":"2009","journal-title":"Orbit"},{"key":"2025082700571724000_15.9.e251214.3","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.8.920"},{"key":"2025082700571724000_15.9.e251214.4","doi-asserted-by":"crossref","first-page":"19","DOI":"10.32412\/pjohns.v29i2.417","article-title":"Transorbital removal of foreign body in the sphenoid sinus","volume":"29","author":"Mendoza","year":"2014","journal-title":"Philipp J Otolaryngol Head Neck Surg"},{"key":"2025082700571724000_15.9.e251214.5","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1007\/s10143-012-0393-2","article-title":"Transcranial superior orbitotomy for the treatment of intraorbital intraconal tumors: surgical technique and long-term results in single Institute","volume":"35","author":"Abuzayed","year":"2012","journal-title":"Neurosurg Rev"},{"key":"2025082700571724000_15.9.e251214.6","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1227\/01.NEU.0000327026.01816.E5","article-title":"Endoscopic transconjunctival surgical approach to the optic nerve and medial intraconal space","volume":"63","author":"Pillai","year":"2008","journal-title":"Operative Neurosurgery"},{"key":"2025082700571724000_15.9.e251214.7","first-page":"652","article-title":"The lid crease approach to the superomedial orbit","volume":"16","author":"Wolfley","year":"1985","journal-title":"Ophthalmic Surg"},{"key":"2025082700571724000_15.9.e251214.8","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s00701-012-1525-8","article-title":"The transmaxillary endoscopic approach to the orbit","volume":"155","author":"Schulthei\u00df","year":"2013","journal-title":"Acta Neurochir"},{"key":"2025082700571724000_15.9.e251214.9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1928.02700020019006"},{"key":"2025082700571724000_15.9.e251214.10","unstructured":"Grewal DS , Jain R , Brar GS , et al . Posterior capsule rupture following closed globe injury: scheimpflug imaging, pathogenesis, and management."},{"key":"2025082700571724000_15.9.e251214.11","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1053\/j.sult.2012.06.004","article-title":"Role of computed tomography in the assessment of intraorbital foreign bodies","volume":"33","author":"Pinto","year":"2012","journal-title":"Semin Ultrasound CT MR"},{"key":"2025082700571724000_15.9.e251214.12","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-12-2011-5377","article-title":"Unusual intraorbital foreign body","volume":"2012","author":"Srirangam","year":"2012","journal-title":"BMJ Case Rep"},{"key":"2025082700571724000_15.9.e251214.13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13256-019-2007-x","article-title":"Removal of intraconal bullet through endoscopic transnasal surgery with image-guided navigation system 8 months after injury: a case report","volume":"13","author":"Promsopa","year":"2019","journal-title":"J Med Case Rep"},{"key":"2025082700571724000_15.9.e251214.14","doi-asserted-by":"crossref","first-page":"25","DOI":"10.3109\/24699322.2016.1170884","article-title":"Endoscopic transnasal removal of an intraconal foreign body using an image-guided surgical system","volume":"21","author":"Teh","year":"2016","journal-title":"Comput Assist Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-251214","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:57:23Z","timestamp":1756281443000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-251214"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":14,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,9,14]]},"published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1136\/bcr-2022-251214"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-251214","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}