\s=b\High-pressure petroleum injection injuries are best known in the distal part of the upper extremity. A recent Medlars search revealed several articles dealing with this type of injury in the hands and wrists, but, as yet, there have been no publications of this type of trauma to the head and neck region. A 35-year-old farmer sustained a high-pressure petroleum injection injury to the lower part of the left cheek and neck. This case might serve as a guide for management of similar cases in the future. (Arch Otolaryngol 1982;108:452-453) Hi gh-pressure petroleum injection injuries were first reported by Rees1 in 1937. Injuries of this type are prepronderantly occupational in na¬ ture and are well known in the upper extremity.212 Characteristically, these wounds appear to be of minor import initially, but progress rapidly to frank necrosis and gangrene. The following case outlines our experience with a high-pressure hydraulic fluid injec¬ tion to the head and neck region.
REPORT OF A CASEA 35-year-old farmer sustained a highpressure hydraulic injection of the left cheek and left side of the neck on May 12, 1977. The injury occurred on disconnecting a hydraulic line attached to a tractor. Fluid was injected at a pressure of approximate¬ ly 2,400 psi through a point of entry in the left side of the lower lip.The initial findings were trivial, consist¬ ing of a pinpoint site of entry and minimal tenderness and swelling of the lower part of the left cheek and submandibular trian-
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.