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Endoscopic Removal of Bullet in Orbit

Running Time: 2:57


Synopsis

65 year-old male with bullet lodged in left orbit. After one year, normal vision began to deteriorate and patient developed eye pain. Decision was made to attempt endoscopic trans-nasal removal of the bullet.

 

Highlights

  • Creation of large maxillary antrostomy for access
  • Opening into orbit through roof of maxillary sinus
  • Identification of inferior rectus muscle
  • Dissection with blunt instrumentation to free bullet from surrounding orbital contents