FOREIGN BODY INVOLVING THE FLOOR OF THE ORBIT AND THE ANTRUM

Abstract

A case of foreign body involving the floor of the orbit and the antrum is presented because it illustrates the principle that persistence of a draining fistula following apparent removal of a foreign body is highly indicative that a portion Upper part: patient eleven days after operation, showing the site of the fistula and the incision used; lower part: foreign body removed from floor of the orbit and the antrum. of the foreign material is still present in the region. Another possibility to be considered is the presence of some form of infectious granuloma in the soft tissues, such as actinomycosis. When a persistent fistula is present in the neighborhood of bony structures, formation of a sequestrum or the presence of osteitis or of osteomyelitis may also be suspected. This case also demonstrates the ineffectiveness of the roentgenogram in the diagnosis of foreign bodies which are not radiopaque. The incision