Foreign body removal from nasal cavity in transorbital injury of long bamboo stick penetrating nasopharyngeal region: a case report

Transorbital penetrating injuries (TPI) are rare yet potentially life-threatening, requiring prompt and precise surgical management. This case report highlights the complex management of a 67-year-old male with a transorbital injury caused by a bamboo stick penetrating into the nasopharynx. The patient presented with a transorbital injury initially misdiagnosed as “gas formation” on CT imaging. Multi-angle CT scans later identified the full extent of the foreign body. A multidisciplinary team planned a nasal cavity approach to access and remove the foreign body. The bamboo stick was transected within the nasal cavity and extracted with minimal tissue damage. Postoperatively, the patient recovered rapidly, with improved visual acuity and slightly limited eye movement. This case underscores the importance of accurate imaging, timely multidisciplinary intervention, and a tailored surgical approach in managing complex TPI to optimize outcomes.