Asian Journal of Case Reports in Surgery

An Unusual Fronto-Orbital Open Trauma Pattern Due to Foreign Body at Work

T. F. Atemkeng-Tsatedem *

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon and Deido District Hospital, Cameroon.

J. Fondop

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon and Koue kong Regional Hospital, Cameroon.

J. E. Njikam

Koue kong Regional Hospital, Cameroon.

J.R. Moulion Tapouh

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon and Koue kong Regional Hospital, Cameroon.

D. D. Banga

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

B. Amougou

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

A. Djam Chefor

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

*Author to whom correspondence should be addressed.

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Abstract

The authors report here a rare case of fronto-orbital foreign body that enter the skull through the right eye region during professional activity. The patient was not protected and the aim of this case is to emphasize on the importance of safety measures. On arrival of the patient, first aid, clinical evaluation and tomodensidometry were done prior to surgery. The evaluation revealed: Burns and traumatic lesions concerning the skin, the skull, the dura mater, the frontal lobe the eye and the eyelid. Unger general anaesthesia, the foreign body has been removed by two teams, neurosurgical and ophthalmologic. Hemostasis and drainage of the cerebral frontal area were done by a neurosurgeon. The eye was completely destroyed, removed by an opthalmologist and is covered by the ptosis.  There was no complication on the crânio –encephalic aspect. The patient resume work after one month and is doing well 10 months after surgery. This rare case raise the importance of safety measure at worksite. The foreign body should never be removed prior to anaesthesia and surgery.

Keywords: Foreign body, fronto, orbital traumatism, cylinder

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