PMC4721066_01
Clinical examination. Moderate edema and ecchymosis of the suborbital left region, bruising of the left lower eyelid, and skin sutures at the outer third of the orbital frame can be observed
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Fig1
Moderate edema and ecchymosis with bruising of his left lower eyelid were observed, with skin sutures at the orbital frame (Fig. 1).
a-b Axial and coronal views of computed tomography images. A left orbital floor fracture and a foreign body localized in the medial portion of the left orbital floor, which extends upward to the left lower turbinate, can be observed
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Fig2
No zygomatic or upper jaw fractures were noted (Fig. 2).
Intraoperative view of the surgical site. A foreign body is identified as a plastic pen cap measuring 0.5 cm in diameter
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Fig3
Under general anesthesia, the orbital floor was exposed through the lower eyelid, and the foreign body was identified to be a plastic pen cap measuring approximately 0.5 cm in diameter (Fig. 3).
Soft tissue healing 3 months after surgery
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Fig4
Our patient's postoperative course was uneventful, with no complications and remarkable soft tissue healing (Fig. 4).
a-b Computed tomography image obtained 3 months after surgery. The reconstructed orbital floor and resolution of the left hemosinus are observed
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Fig5
Clinical and radiological follow-up performed 1 year after surgery, showed no abnormalities, with complete resolution of the hemosinus and adequate nasal and orbital reconstruction (Fig. 5).