{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:30:18Z","timestamp":1787758218540,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Orbitocranial penetrating injuries can accidentally occur in children while handling pencils and can cause severe sequelae such as ocular damage, brain lesion, intracranial haemorrhage, and infections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Concerns<\/jats:title>\n                    <jats:p>We report the case of a 7-year-old child with an orbitocranial penetrating injury by a pencil, initially gone undetected, that caused a direct damage to the optic nerve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnosis<\/jats:title>\n                    <jats:p>Computed tomography scan with contrast detected the foreign body and the presence of a lesion of the left internal carotid artery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Treatment<\/jats:title>\n                    <jats:p>Angiography was performed to treat the vascular lesion and to prevent haemorrhage. Subsequently, a craniotomy was performed to assist the extraction of the pencil from the entry wound and to remove residual fragments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Left eye vision was lost. The 1-year follow-up was uneventful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Take-away Lessons<\/jats:title>\n                    <jats:p>Operative angiography is mandatory before the surgical extraction of the orbitocranial penetrating injury in case of documented intracranial vessel damage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ams.ams_33_22","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T14:33:58Z","timestamp":1660746838000},"page":"72-75","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary Management of an Orbitocranial Penetrating Injury by a Pencil in a Paediatric Patient - A Case Report"],"prefix":"10.4103","volume":"12","author":[{"given":"Karim","family":"Tewfik","sequence":"first","affiliation":[{"name":"Paediatric Head and Neck Department, Paediatric Maxillo-Facial Surgery Unit, ASST Spedali Civili of Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Covelli","sequence":"additional","affiliation":[{"name":"Services Department, Pathology Unit, ASST del Garda, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Rossini","sequence":"additional","affiliation":[{"name":"Paediatric Head and Neck Department, Paediatric Maxillo-Facial Surgery Unit, ASST Spedali Civili of Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Peta","sequence":"additional","affiliation":[{"name":"Paediatric Head and Neck Department, Paediatric Maxillo-Facial Surgery Unit, ASST Spedali Civili of Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dante","family":"Burlini","sequence":"additional","affiliation":[{"name":"Paediatric Head and Neck Department, Paediatric Maxillo-Facial Surgery Unit, ASST Spedali Civili of Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,8,16]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.ajo.2017.05.018","article-title":"Orbital and orbitocranial trauma from pencil fragments:Role of timely diagnosis and management","volume":"180","author":"Cho","year":"2017","journal-title":"Am J Ophthalmol"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1007\/s00381-014-2364-0","article-title":"Transorbital penetrating cerebral injury caused by a wooden stick:Surgical nuances for removal of a foreign body lodged in cavernous sinus","volume":"30","author":"Borkar","year":"2014","journal-title":"Childs Nerv Syst"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1177\/000313481107700831","article-title":"Pencils and pens:An under-recognized source of penetrating injuries in children","volume":"77","author":"Fisher","year":"2011","journal-title":"Am Surg"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/j.survophthal.2006.06.008","article-title":"Patterns of transorbital intracranial injury:A review and comparison of occult and non-occult cases","volume":"51","author":"Turbin","year":"2006","journal-title":"Surv Ophthalmol"},{"key":"B5-20240828","first-page":"716791","article-title":"Occult orbitocranial penetrating pencil injury in a child","volume":"2012","author":"Al-Otaibi","year":"2012","journal-title":"Case Rep Surg"},{"key":"B6-20240828","first-page":"1668","article-title":"Asurvey of incidental ocular trauma by pencil and pen","volume":"11","author":"Tabatabaei","year":"2018","journal-title":"Int J Ophthalmol"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"190","DOI":"10.23736\/S0390-5616.19.04793-3","article-title":"Classification of orbitocranial wooden foreign body penetration injuries:What to do when they violate the intracranial space?A systematic review","volume":"64","author":"Del Verme","year":"2020","journal-title":"J Neurosurg Sci"},{"key":"B8-20240828","doi-asserted-by":"crossref","first-page":"271","DOI":"10.5505\/tjtes.2015.48839","article-title":"Cerebrovascular complications of transorbital penetrating intracranial injuries","volume":"21","author":"\u00d6zkan Arat","year":"2015","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"B9-20240828","doi-asserted-by":"crossref","first-page":"591431","DOI":"10.3389\/fneur.2020.591431","article-title":"Orbitocranial penetrating injury with multiple vessel invasion in an infant:A case report and literature review","volume":"11","author":"Wu","year":"2020","journal-title":"Front Neurol"},{"key":"B10-20240828","doi-asserted-by":"crossref","first-page":"102937","DOI":"10.1016\/j.amsu.2021.102937","article-title":"An extremely rare case:Transorbital penetrating intracranial injury by wooden foreign body. Case report","volume":"71","author":"Wahyudi","year":"2021","journal-title":"Ann Med Surg (Lond)"}],"container-title":["Annals of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_33_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:10:28Z","timestamp":1787757028000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_33_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ams.ams_33_22","relation":{},"ISSN":["2231-0746","2249-3816"],"issn-type":[{"value":"2231-0746","type":"print"},{"value":"2249-3816","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"2022-02-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}