Delayed Partial Extrusion of a Transorbital Toothbrush Handle Extending Into the Infratemporal Space

Retained foreign bodies following facial trauma may present late with atypical manifestations, particularly when composed of radiolucent materials such as plastic.We report a 44-year-old male referred to the otolaryngology service with delayed self-extrusion of a long tubular foreign body following an assaultrelated facial injury.The CT revealed a well-defined hypodense structure entering the inferonasal aspect of the right orbit, coursing through the extraconal compartment, breaching the orbital floor, traversing the maxillary sinus, and extending into the infratemporal space.Despite this extensive trajectory, the patient demonstrated preserved vision and full extraocular movements.The foreign body, later identified as a toothbrush handle, was successfully removed without complications.This case highlights the importance of early imaging in penetrating facial trauma and describes a rare example of delayed partial self-extrusion of a transorbital foreign body managed via a combined surgical approach.