Being unable to obtain any reliable
information as to the probable size or shape of the object, I
cautiously made several attempts to remove it through a slightly
enlarged opening, but without success. I therefore continued the
incision along the side of the nose to the nostril, thus laying
open the right nasal cavity; then, seizing the foreign body with
a pair of strong forceps, I with difficulty removed the complete
breech-pin of a Chinese gun. Its size and shape are accurately
represented by the accompanying drawing. The breech-pin measures
a little over three inches in length, and weighs 21 ounces, or
75.6 grams. It had evidently lain at the back of the orbit,
inclined upward and slightly backward from its point of entrance,
at an angle of about 45 degrees. On its removal the headache was
at once relieved and did not return. In ten days the wound was
perfectly healed and the patient went back to his work. A
somewhat similar case, but which terminated fatally, is recorded
in the American Journal of the Medical Sciences of July, 1882."
The extent of permanent injury done by foreign bodies in the
orbit is variable. In some instances the most extensive wound is
followed by the happiest result, while in others vision is
entirely destroyed by a minor injury.
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