An Arrow Penetrating the Globe and the Sinonasal Complex

Main Article Content

Richard Narjinary
Saikat Samaddar
Sanjoy Ghosh
Saumendra Nath Bandopadhyay

Abstract

Introduction:


Foreign bodies represent on average 11% of all ENT emergencies. Associated eye trauma represents 5% of all cases of blindness in developing countries. Accidental and homicidal arrow injuries presenting to an otorhinolaryngologist are still a stark reality in this modern era.


Case report:


A 22 year-old female presented with an accidental arrow injury in her left eye; extending into the nose. On examination, she had no light perception in left eye and a penetrating injury of the sclera. CT scan showed extensive injury to ipsilateral nasal cavity, floor of left orbit and the maxillary sinus and anterior ethmoid cells. Multidisciplinary approach ensured removal of the unusual foreign body from the orbit, nose and paranasal sinuses.


Discussion:


Accidental injury in ear, nose or throat with sharp projectiles presents a challenge. Arrowhead may be poisoned and thus exploration is delayed until the systemic effect of the poisoned is reduced. An injury such as this involves a multidisciplinary approach. As ENT surgeons we must be aware such challenges and equip ourselves with the knowledge to tackle them.

Article Details

How to Cite
1.
Narjinary R, Samaddar S, Ghosh S, Bandopadhyay SN. An Arrow Penetrating the Globe and the Sinonasal Complex. BJOHNS [Internet]. 2016Apr.1 [cited 2024Nov.21];24(1):32-5. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/71
Section
Case report
Author Biographies

Richard Narjinary, MEDICAL COLLEGE AND HOSPITAL KOLKATA

JR, DEPARTMENT OF ENT, MEDICAL COLLEGE AND HOSPITAL, KOLKATA.

Saikat Samaddar, MEDICAL COLLEGE AND HOSPITAL, KOLKATA

JR, DEPARTMENT OF ENT, MEDICAL COLLEGE AND HOSPITAL KOLKATA

Sanjoy Ghosh, MEDICAL COLLEGE AND HOSPITAL, KOLKATA

SR, DEPARTMENT OF ENT, MEDICAL COLLEGE AND HOSPITAL KOLKATA

Saumendra Nath Bandopadhyay, MEDICAL COLLEGE AND HOSPITAL, KOLKATA

Professor, Department of ENT, MEDICAL COLLEGE AND HOSPITAL, KOLKATA

References

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Duke-Elder S, MacFaul PA. In: Duke Elder S, Editor. System of Ophthalmology. Vol. XIV Part I London: Henry Kimpton, 1972, p 481

Lawan A, Danjuma SA. Arrow injuries to the eye. Ann Afr Med. 2012; 11(2):116-8

Basu S.K, Bandyopadhyay S.N, Bora. H, An Arrow in the Nasal Cavity, Ethmoid and Nasophraynx. Indian J Otolaryngol Head Neck Surg, August 1999(Special Number, F.B):46-48.

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