Fig. 1

Percutaneous endoscopic management of orbital-cranial region wooden foreign body in a 60-year-old female patient with transorbital penetrating injury by a bamboo stick. a Cranial CT scanning after injury showed the bamboo terminated in the right inferior orbital fissure without significant injury to the globe. b After temporary blockage of the right internal carotid flow by endovascular balloon, the bamboo stick was retracted along its penetration route. c Cranial CT after bamboo stick removal revealed local hematoma formation, tissue swelling, and possible residual foreign bodies. d The residual bamboo stick was removed via transorbital approach with the percutaneous endoscopic procedure. e The skin incision and associated injury were minimized by approaching the residual bamboo sticks along its initial penetrating pathway. f All the remains of the bamboo stick were withdrawn in about 1.5 h under endoscope. g The coils used for aneurysm embolization were identified under the endoscopy. h After endovascular embolization of the traumatic aneurysm and percutaneous endoscopic procedures 1 month after initial injury, cranial CT confirmed complete removal of the residual bamboo sticks