Retained naso-orbital wooden foreign body: diagnostic challenge and management

A retained wooden foreign body in the naso-orbital region is rare and poses significant diagnostic challenges. We report a case of a young male presenting with an alleged history of trauma followed by pain and visual disturbance. Clinical examination and detailed radiologic evaluation led to the diagnosis of retained foreign body in the naso-orbital complex. The foreign body was successfully removed via a tailored surgical approach with multidisciplinary involvement. Wooden foreign bodies carry a high risk of infection being organic nature, necessitating prompt removal and adequate antimicrobial therapy. This case highlights the importance of considering retained organic foreign bodies in atypical presentations, recognising radiological pitfalls and adopting an appropriate surgical strategy to ensure complete removal without complications.