On 13/7, Dr. Bien Van Hoan, a master and resident doctor at the Pediatric Ear, Nose, and Throat Department of the National Ear, Nose, and Throat Hospital, reported that a computed tomography (CT) scan revealed the marble had penetrated beyond the eye socket, settling deep within the sphenoid sinus. This sinus is located in a critical area, close to vital structures such as the optic nerve, internal carotid artery, and skull base.

"Even a shift of a few millimeters in the injury could lead to permanent vision loss, severe bleeding, or dangerous intracranial complications", Dr. Hoan said.

The marble after removal. Photo: Courtesy of the hospital

Given the critical situation, doctors consulted with ophthalmologists to assess the ocular damage. They decided to perform endoscopic sinus surgery to access the sphenoid sinus and remove the foreign object. This modern technique allows access to the injury through natural nasal passages, enabling surgeons to clearly visualize anatomical structures and perform precise maneuvers.

During the operation, surgeons successfully accessed the sphenoid sinus and removed the iron marble, which was approximately 0,5 cm in diameter, while preserving surrounding vital structures. Following the surgery, the child recovered well and continues to be monitored.

Doctors issued a warning against allowing children to use slingshots, BB guns, or any toys with strong firing mechanisms.

Le Nga