Evidence map›Paper›PMID 38712521›Full record

SynthesisActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2024

Endoscopic transnasal approach to remove an intraorbital bullet: systematic review and case report.

Giacomo Sollini, Alessia Giorli, Matteo Zoli, Paolo Farneti, Giorgio Arena, Fabio Astarita, Diego Mazzatenta, Ernesto Pasquini

Abstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Giacomo SolliniDepartment of Otolaryngology and Head and Neck Surgery, Bellaria Hospital, AUSL Bologna, Bologna, Italy.
Alessia GiorliENT Department, University of Siena, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
Matteo ZoliDepartment of Bio-Medical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy.
Paolo FarnetiDepartment of Otolaryngology and Head and Neck Surgery, Bellaria Hospital, AUSL Bologna, Bologna, Italy.
Giorgio ArenaENT Division, University of Eastern Piedmont, AOU Maggiore della Carità di Novara, Novara, Italy.
Fabio AstaritaUO Rete Chirurgia del Volto e Odontoiatria Ospedaliera e Territoriale, AUSL Bologna, Bologna, Italy.
Diego MazzatentaDepartment of Bio-Medical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy.
Ernesto PasquiniDepartment of Otolaryngology and Head and Neck Surgery, Bellaria Hospital, AUSL Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Intraorbital foreign bodies (IOFBs) represent a clinical challenge: surgical management can be controversial and different strategies have been proposed. When removal is recommended, depending on the location and nature of the IOFB both external and endoscopic approaches have been proposed, with significantly different surgical corridors to the orbit and different morbidities. Methods: We performed a literature review of cases of IOFBs that received exclusive endoscopic transnasal surgical treatment to evaluate the role of this surgery in these occurrences. We also present a case of an intraorbital intraconal bullet that was successfully removed using an endoscopic transnasal approach with good outcomes in terms of ocular motility and visual acuity. Results: A limited number of cases of IOFBs have been treated with an exclusive endoscopic transnasal approach. When in the medial compartment, this approach appears to be safe and effective. In our case, two months after surgery the patient showed complete recovery with no significant long-term sequelae. Conclusions: When feasible, an endoscopic transnasal approach for intraorbital foreign bodies represents a valid surgical technique with optimal outcomes and satisfactory recovery.

Indexed as

Natural Orifice Endoscopic SurgeryOrbitWounds, GunshotEye Foreign BodiesHumansNosebulletendoscopyorbital foreign bodyorbital surgerytransnasal surgery

Identifiers

PMID38712521
PMCPMC11441522

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.