Orbital foreign body removal

The foreign body removal in the orbit is mainly for the following diseases: (1) superficial foreign body in the rim of the iliac crest; (2) foreign body located near the eye muscle, optic nerve and large blood vessels; (3) sharp foreign body near the iliac wall; (4) foreign body part entering the intracranial or sinus (5) toxic foreign bodies; (6) woody foreign bodies; (7) copper and iron chemically active metal foreign bodies. Treatment of diseases: orbital liposarcoma orbital sarcoma Indication (1) The superficial foreign body of the rim portion. (2) Foreign objects located near the eye muscles, optic nerves, and large blood vessels. (3) Sharp foreign objects near the wall. (4) The foreign body part enters the tissue such as the intracranial or sinus. (5) Toxic foreign bodies. (6) Woody foreign matter. (7) Metallic foreign bodies with active chemical properties such as copper and iron. Preoperative preparation Ask the medical history in detail, carefully examine the patient, fully understand the injury, and locate and characterize the foreign body. Inject anti-tetanus serum in time, apply antibiotics, and apply hemostatic agents as appropriate. Surgical procedure (1) Select the location of the skin incision according to the location of the foreign object. (2) If the foreign body of the tip is removed, the outer wall can be cut. (3) Cut the external malleolar ligament, septum, and cut the periosteum. (4) Cut the bone edge and part of the bone wall and turn it backwards. (5) At the intermediate level, the periosteum is cut toward the tip of the jaw. (6) Use small fingers to probe the foreign body, then use the mosquito clamp to separate the fat, and take the foreign object under direct vision. (7) suture the periosteum. (8) Fix the tibia with stainless steel or silk. (9) Re-sewn the lateral malleolus ligament on the inner surface of the periosteum. (10) Layered suture fascia and skin, place drainage strips, and remove them 24 hours after surgery.

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