{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:28:39Z","timestamp":1787758119559,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Foreign bodies in the intraconal space are unusual, and lodgment at the orbital apex was even more unusual. High-velocity object injuries, such as gunshots or industrial accidents, are the common causes of intraorbital foreign bodies. It is difficult for surgeons to retrieve foreign bodies from the orbital apex as it is a deep, narrow space with critical surrounding structures. The use of an image-guided navigation system improves the accuracy of transnasal endoscopic surgery and causes less damage. We present a case in which a bullet became lodged in the orbital apex and was successfully removed using transnasal endoscopic surgery with the collaboration of otolaryngologists and ophthalmologists. To summarize, orbital apex foreign bodies are harmful, and prompt removal with a personalized multidisciplinary approach is critical.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/tjo.tjo_26_22","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T02:30:56Z","timestamp":1657852256000},"page":"374-377","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Personalized multidisciplinary approach of orbital apex foreign body"],"prefix":"10.4103","volume":"12","author":[{"given":"Yi-Ting","family":"Hou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Hsuan","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Kang","family":"Liao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih-Feng","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-22-20240830","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/S0161-6420(01)00982-4","article-title":"Clinical features and management of intraorbital foreign bodies","volume":"109","author":"Fulcher","year":"2002","journal-title":"Ophthalmology"},{"key":"R2-22-20240830","first-page":"1","article-title":"Transnasal endoscopic removal of intra-orbital metallic foreign body","volume":"5","author":"Shetty","year":"2019","journal-title":"Int J Orl Head Neck Surg"},{"key":"R3-22-20240830","first-page":"69","article-title":"Intraorbital foreign body: Clinical presentation, radiological appearance and management","volume":"8","author":"Al-Mujaini","year":"2008","journal-title":"Sultan Qaboos Univ Med J"},{"key":"R4-22-20240830","doi-asserted-by":"crossref","first-page":"e237280","DOI":"10.1136\/bcr-2020-237280","article-title":"Fragmented pellet in the orbital apex: A dilemma to remove or not","volume":"13","author":"Das","year":"2020","journal-title":"BMJ Case Rep"},{"key":"R5-22-20240830","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.ijom.2006.11.008","article-title":"Removal of a pellet from the left orbital cavity by image-guided endoscopic navigation","volume":"36","author":"Feichtinger","year":"2007","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R6-22-20240830","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/01.IOP.0000129014.94384.e6","article-title":"Retained intraorbital metallic foreign bodies","volume":"20","author":"Ho","year":"2004","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"R7-22-20240830","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":"R8-22-20240830","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 (Abingdon"},{"key":"R9-22-20240830","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.surneu.2004.09.046","article-title":"Transconjunctival approach for retrobulbar intraconal orbital cavernous hemangiomas. 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