{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T03:06:29Z","timestamp":1773198389548,"version":"3.50.1"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Transorbital penetrating injuries (TPI) are rare yet potentially life-threatening, requiring prompt and precise surgical management. This case report highlights the complex management of a 67-year-old male with a transorbital injury caused by a bamboo stick penetrating into the nasopharynx. The patient presented with a transorbital injury initially misdiagnosed as \u201cgas formation\u201d on CT imaging. Multi-angle CT scans later identified the full extent of the foreign body. A multidisciplinary team planned a nasal cavity approach to access and remove the foreign body. The bamboo stick was transected within the nasal cavity and extracted with minimal tissue damage. Postoperatively, the patient recovered rapidly, with improved visual acuity and slightly limited eye movement. This case underscores the importance of accurate imaging, timely multidisciplinary intervention, and a tailored surgical approach in managing complex TPI to optimize outcomes.<\/jats:p>","DOI":"10.3389\/fsurg.2026.1779911","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:41:30Z","timestamp":1773124890000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Foreign body removal from nasal cavity in transorbital injury of long bamboo stick penetrating nasopharyngeal region: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Duo","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Ophthalmology III, Jili Hospital of Liuyang City","place":["Liuyang, Hunan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su-Xia","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology III, Jili Hospital of Liuyang City","place":["Liuyang, Hunan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology III, Jili Hospital of Liuyang City","place":["Liuyang, Hunan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Man-Ting","family":"Yi","sequence":"additional","affiliation":[{"name":"Institute of TCM Diagnostics, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Liang","sequence":"additional","affiliation":[{"name":"Institute of TCM Diagnostics, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1097\/IIO.0000000000000503","article-title":"Orbital penetrating injuries: a review on evaluation and management","volume":"64","author":"Lin","year":"2024","journal-title":"Int Ophthalmol Clin"},{"key":"B2","doi-asserted-by":"publisher","first-page":"179","DOI":"10.18999\/nagjms.85.1.179","article-title":"Transorbital penetrating head injury by a wooden chopstick in the cavernous sinus: a case report and literature review","volume":"85","author":"Yamazaki","year":"2023","journal-title":"Nagoya J Med Sci"},{"key":"B3","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1177\/1971400916678245","article-title":"Intraorbital wooden foreign body detected by computed tomography and magnetic resonance imaging","volume":"30","author":"Di Gaeta","year":"2017","journal-title":"Neuroradiol J"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.47363\/JMHC\/2023(5)232","article-title":"Transorbital penetrating intracranial trauma with a pen. A case report","volume":"5","author":"Caballero Castellanos","year":"2023","journal-title":"J Med Healthcare"},{"key":"B5","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1016\/j.otc.2005.03.017","article-title":"Anatomy of the orbit and its related structures","volume":"38","author":"Burkat","year":"2005","journal-title":"Otolaryngol Clin North Am"},{"key":"B6","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1016\/j.neucie.2019.07.001","article-title":"Surgical anatomy of the orbit. A systematic and clear study of a complex structure","volume":"30","author":"Villalonga","year":"2019","journal-title":"Neurocirug\u00eda (Engl Ed)"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1619","DOI":"10.18240\/ijo.2021.10.21","article-title":"Intraorbital wooden foreign bodies: case series and literature review","volume":"14","author":"You,","year":"2021","journal-title":"Int J Ophthalmol"},{"key":"B8","doi-asserted-by":"publisher","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":"Tas","year":"2014","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2017\/24523.9736","article-title":"Comparison of ultrasonography, magnetic resonance imaging and cone beam computed tomography for detection of foreign bodies in maxillofacial region","volume":"11","author":"Shokri","year":"2017","journal-title":"JCDR"},{"key":"B10","doi-asserted-by":"publisher","first-page":"580.e5","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":"B11","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1054\/jocn.2000.0692","article-title":"Delayed presentation of transorbital intracranial pen","volume":"7","author":"Davis","year":"2000","journal-title":"J Clin Neurosci"},{"key":"B12","doi-asserted-by":"publisher","first-page":"109505","DOI":"10.1016\/j.ejrad.2020.109505","article-title":"Detectability of foreign body materials using x-ray, computed tomography and magnetic resonance imaging: a phantom study","volume":"135","author":"Voss","year":"2021","journal-title":"Eur J Radiol"},{"key":"B13","doi-asserted-by":"publisher","first-page":"S59","DOI":"10.14639\/0392-100X-suppl.1-41-2021-06","article-title":"When multidisciplinary surgical trans-orbital approaches should be considered to reach the skull base","volume":"41","author":"Dallan","year":"2021","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"B14","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1055\/s-0034-1378178","article-title":"An unusual transorbital penetrating injury and principles of management","volume":"7","author":"Dekker","year":"2014","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"B15","doi-asserted-by":"publisher","first-page":"53","DOI":"10.3171\/2010.8.JNS10301","article-title":"Transorbital penetrating injury: case series, review of the literature, and proposed management algorithm: report of 4 cases","volume":"114","author":"Schreckinger","year":"2011","journal-title":"JNS"},{"key":"B16","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1016\/j.otot.2008.07.002","article-title":"Surgical approaches to the orbit","volume":"19","author":"Humphrey","year":"2008","journal-title":"Oper Tech Otolaryngol Head Neck Surg"},{"key":"B17","doi-asserted-by":"publisher","first-page":"951","DOI":"10.1007\/s00381-011-1674-8","article-title":"Interdisciplinary endoscopic assisted surgery of a patient with a complete transorbital intracranial impalement through the dominant hemisphere","volume":"28","author":"Burkhardt","year":"2012","journal-title":"Childs Nerv Syst"},{"key":"B18","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1055\/s-0030-1262789","article-title":"Transorbital penetrating skull-base injuries: two severe cases with wooden branches and review of the literature","volume":"72","author":"Zweckberger","year":"2011","journal-title":"Zentralbl Neurochir"},{"key":"B19","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1016\/j.wneu.2015.12.063","article-title":"Orbitocranial low-velocity penetrating injury: a personal experience, case series, review of the literature, and proposed management plan","volume":"87","author":"Mzimbiri","year":"2016","journal-title":"World Neurosurg"},{"key":"B20","doi-asserted-by":"publisher","first-page":"102770","DOI":"10.1016\/j.bas.2024.102770","article-title":"Endoscopic approaches to the orbit: transnasal and transorbital, a retrospective case series","volume":"4","author":"Zoia","year":"2024","journal-title":"Brain Spine"},{"key":"B21","doi-asserted-by":"publisher","first-page":"e29","DOI":"10.2500\/ajra.2017.31.4421","article-title":"Presentation, workup, and management of penetrating transorbital and transnasal injuries: a case report and systematic review","volume":"31","author":"Ghadersohi","year":"2017","journal-title":"Am J Rhinol Allergy"},{"key":"B22","doi-asserted-by":"publisher","first-page":"986","DOI":"10.1097\/SCS.0000000000002649","article-title":"Combined external-endoscopic endonasal assisted removal of a nail gun","volume":"27","author":"Dehgani Mobaraki","year":"2016","journal-title":"Journal of Craniofacial Surgery"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1779911\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:41:31Z","timestamp":1773124891000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1779911\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":22,"alternative-id":["10.3389\/fsurg.2026.1779911"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1779911","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]},"article-number":"1779911"}}