Intraorbital Metallic Foreign Body Causing Orbital Fracture

A 39-year-old man sustained an orbital fracture due to an intraorbital metallic foreign body. We successfully removed the foreign body and repaired the orbital fracture via a frontotemporal craniotomy and the microscopic extradural approach. There are several surgical approaches to the orbit. We used the frontotemporal craniotomy and the microscopic extradural approach. This approach provides an adequate operative field for a large intraorbital foreign body.