{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:56Z","timestamp":1787016956615,"version":"build-2736575974"},"reference-count":13,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,3,4]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>Intraorbital foreign bodies (IOFBs) are a recognised complication of orbital trauma, but intraorbital wooden foreign bodies are rare and pose significant diagnostic and management challenges due to their radiolucency, high risk of infection and potential for severe inflammation. This case describes a rare presentation of a young boy who sustained orbital trauma after an 8-foot fall, resulting in a 5 cm \u00d7 3\u2009cm wooden IOFB extending to the orbital apex with an associated sphenoid fracture. He presented with proptosis, an inferotemporal scleral indentation mimicking retinal detachment and a lateral infraorbital laceration. CT imaging confirmed the diagnosis, and timely surgical removal via an extended infraorbital approach, along with broad-spectrum antimicrobial therapy, led to visual recovery and resolution of proptosis. This case highlights the importance of early diagnosis, individualised surgical planning and a multidisciplinary approach in managing paediatric orbital trauma caused by organic foreign bodies.<\/jats:p>","DOI":"10.1136\/bcr-2024-264403","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T09:41:23Z","timestamp":1741945283000},"page":"e264403","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Successful management of a rare intraorbital wooden foreign body extending to the orbital apex in a paediatric patient"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5945-8493","authenticated-orcid":false,"given":"Parul","family":"Mittal","sequence":"first","affiliation":[{"name":"Ophthalmology, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidhya","family":"Verma","sequence":"additional","affiliation":[{"name":"Ophthalmology, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priti","family":"Singh","sequence":"additional","affiliation":[{"name":"Ophthalmology, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikita","family":"Ahuja","sequence":"additional","affiliation":[{"name":"Ophthalmology, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"2025082708395325000_18.3.e264403.1","doi-asserted-by":"crossref","first-page":"1018905","DOI":"10.3389\/fmed.2022.1018905","article-title":"Clinical analysis of 96 patients with intraorbital foreign bodies: A 10-year retrospective study","volume":"9","author":"You","year":"2022","journal-title":"Front Med"},{"key":"2025082708395325000_18.3.e264403.2","doi-asserted-by":"crossref","first-page":"300","DOI":"10.7181\/acfs.2018.02047","article-title":"Unrecognized intraorbital wooden foreign body","volume":"19","author":"Kim","year":"2018","journal-title":"Arch Craniofac Surg"},{"key":"2025082708395325000_18.3.e264403.3","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/S0301-0503(84)80221-0","article-title":"Foreign bodies in the orbit. Review of 20 cases","volume":"12","author":"Bartkowski","year":"1984","journal-title":"J Maxillofac Surg"},{"key":"2025082708395325000_18.3.e264403.4","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/j.cjtee.2016.04.006","article-title":"Clinical diagnosis and treatment of intraorbital wooden foreign bodies","volume":"19","author":"Li","year":"2016","journal-title":"Chin J Traumatol"},{"key":"2025082708395325000_18.3.e264403.5","doi-asserted-by":"crossref","first-page":"119","DOI":"10.3126\/jkmc.v3i3.12248","article-title":"Intraorbital Wooden Foreign Body: A Case Report","volume":"3","author":"Sitaula","year":"2015","journal-title":"J Kathmandu Med Coll"},{"key":"2025082708395325000_18.3.e264403.6","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3181bd7509"},{"key":"2025082708395325000_18.3.e264403.7","doi-asserted-by":"crossref","first-page":"51","DOI":"10.5505\/tjtes.2014.93876","article-title":"Intraorbital wooden foreign body: clinical analysis of 32 cases, a 10-year experience","volume":"20","author":"Ta\u015f","year":"2014","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"2025082708395325000_18.3.e264403.8","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1097\/PEC.0b013e31822d3df2","article-title":"Radiological detection of intraorbital wooden foreign bodies","volume":"27","author":"Nagae","year":"2011","journal-title":"Pediatr Emerg Care"},{"key":"2025082708395325000_18.3.e264403.9","first-page":"134","article-title":"Intraorbital wooden foreign body: CT and MR appearance","volume":"17","author":"Ho","year":"1996","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082708395325000_18.3.e264403.10","doi-asserted-by":"crossref","first-page":"65","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 Reports"},{"key":"2025082708395325000_18.3.e264403.11","first-page":"538","article-title":"Intraorbital Penetrating and Retained Foreign Bodies - A Neurosurgical Case Series","volume":"29","author":"Szabo","year":"2019","journal-title":"Turk Neurosurg"},{"key":"2025082708395325000_18.3.e264403.12","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/j.wneu.2016.06.057","article-title":"Wooden Foreign Body in the Skull Base: How Did We Miss It?","volume":"92","author":"Jusu\u00e9-Torres","year":"2016","journal-title":"World Neurosurg"},{"key":"2025082708395325000_18.3.e264403.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(01)00982-4"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-264403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:40:00Z","timestamp":1756309200000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-264403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,14]]},"published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1136\/bcr-2024-264403"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-264403","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}