PMC3032248_01
Solidified polymer protruding from the skin of the right lower eyelid
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The right eye showed severe periocular edema with a black hardened plastic foreign body protruding from the lower lid and medial canthal area [Fig. 1].
Computed tomography scan showing the intraorbital plastic foreign body in the right orbit with the air pockets (arrows)
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Hypodense areas inside the mass were evident, suggestive of air entrapment [Fig. 2].
Plastic foreign body after removal
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It measured 2.5 x 3.5 x 5.0 cm [Fig. 3].
(A) Loss of skin over the right lower lid, medial upper lid and medial canthus. (B) Reconstruction by tarsoconjunctival and medial forehead flap
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The necrosis of the tissues extended up to the orbital rim, medial portion of the upper lid and the medial canthal area [Fig. 4A]. A staged reconstruction of the right medial canthal area, including the upper and lower eyelids, was performed using a combination of forehead and tarso-conjunctival flaps techniques [Figs. 4B and 5].
Tarsoconjunctival flap after division
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A staged reconstruction of the right medial canthal area, including the upper and lower eyelids, was performed using a combination of forehead and tarso-conjunctival flaps techniques [Figs. 4B and 5].
Final result
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Although acceptable cosmesis was achieved [Fig. 6], the patient did not recover his vision.