Craniocerebral penetrating injury caused by a spear gun through the mouth

Ban, Leang Heng; Léone, Marc; Visintini, Pierre; Blasco, V.; Antonini, François; Kaya, J.-M.; Alliez, B; Albanèse, Jacques; Martin, Claude

doi:10.3171/jns/2008/108/5/1021

Cited by 14 publications

(5 citation statements)

References 3 publications

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“…Most injuries by spear gun occur accidentally but a few cases of suicide were published earlier (2). Although the injuries that caused by spear gun have high risk of mortality and morbidity, fortunately our patient had no severe deficit compared to some cases published before (2,10,11). Maxillofacial injuries that caused by spear gun are very rare conditions.…”

Section: Discussionmentioning

confidence: 74%

A Child with Maxillofacial Injury by Three Pronged Spear Gun

Çağlar¹,

Er²,

Demirdöver³

et al. 2015

Turk J Ped Em Int Care Med

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ÖZETBu raporda, nadir görülen, mortalite ve morbidite ile sonuçlanabilecek zıpkına bağlı maksillofasiyal bir yaralanma olgusu sunulmaktadır. Bu tip hastalarda nasıl müdahale edilmesi gerektiğini bilmek büyük önem taşımaktadır. Olgu, yüzünden zıpkın ile vurulma nedeni ile çocuk acil servisine başvurdu. İlk bakıda bilinci açık, oryantasyonu tam, solunum ve dolaşım bulguları stabildi. Üç mızraklı zıpkın, yüzün sol malar bölgesine saplanmıştı. Zıpkını hastanın yüzünden çıkarmak için gerekli müdahale yapılmadan önce beyin tomogra si ile değerlendirildi ve herhangi bir nörovasküler penetrasyon olmadığı belirendi. Operasyon sırasında hastanın entübasyonu sağlayabilmek için öncelikle zıpkının bağlantı noktası hidrolik kesici ile kesildi ve zıpkının alt parçası acil serviste kontrollü bir şekilde çıkarıldı. Kalan parçalar genel anestezi altında ameliyathane şartlarında çıkarıldı. Hasta 3 gün sonra herhangi bir sekel kalmadan taburcu edildi. Zıpkın oldukça tehlikeli ve çocuklarda tarafından kolayca ulaşılabilen bir ekipmandır. Bu tür vakaların yönetimi farklı zıpkın türlerine göre değişiklik göstermektedir. Bu vaka, acil serviste zıpkına bağlı bir yaralanmaya nasıl müdahale edilmesi gerektiğini ortaya koymaktadır. CAYD 2015;2(1):45-48. Anahtar Kelimeler: Zıpkın, maksillofasiyal, çocuk, travma, acil SUMMARY This report illustrates a rare maxillofacial injury by spear gun that can cause mortality and morbidity. It's important to know how to intervene such a patient. He was conscious and oriented when he administered to the emergency department (ED), his respiration and circulation was stable. Three pronged spear was stuck into left malar region. Computed tomography was performed before manipulation of spear gun and no neurovascular penetration was determined. The external part of the spear gun was cut out by a hydraulic cutter to facilitate patient's intubation. The lower fragment of the harpoon was removed in ED. The rest of the spear was removed in operation room under general anesthesia. The patient healed with no de cit and discharged three days after operation. Spear guns are very dangerous equipment that children can easily access. Management of cases can be di erent according to the di erent kind of spear guns. This case demonstrates management to the spear gun injuries in ED. CAYD 2015;2(1):45-48.

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Section: Discussionmentioning

confidence: 74%

A Child with Maxillofacial Injury by Three Pronged Spear Gun

Çağlar¹,

Er²,

Demirdöver³

et al. 2015

Turk J Ped Em Int Care Med

View full text Add to dashboard Cite

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“…To the best of our knowledge, only one case of a homicide attempt with a Japanese samurai sword has been described in the forensic literature and none with a sickle [5]. The use of unusual weapons in suicide cases has already been reported [6–10].…”

Section: Discussionmentioning

confidence: 99%

Homicide by unusual‐edged weapons: Forensic considerations of two cases

Karray

Dubois

Savall

et al. 2020

Journal of Forensic Sciences

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Homicide by stab wound is common worldwide. However, the use of unusual edged weapons is rarely reported in the forensic literature. Here, we report two cases of homicide involving a Japanese sword, or katana, and a sickle. Both of these weapons can create either stab or incised wounds with some particularities. In our cases, characteristics of the external wounds, internal injuries, and the depth of penetration raised the possibility of an unusual weapon. Meticulous forensic examination of these injuries (morphological characteristics, depth of penetration, trajectories, and cut marks in the bone) may allow the forensic expert to determine the type of weapon used.

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“…Together with this present study, a total of 13 cases were selected. The data from all studies are presented in Table I [1][2][3][4][5][6][7][8][9][10].…”

Section: Observation and Commentsmentioning

confidence: 99%

“…Their use is uncomplicated, and spear gun injuries are very rare. Most of the cases are related to lack of attention during sports practices [1,2]. Spear injuries may cause severe lesions to the patient including death.…”

Section: Introductionmentioning

confidence: 99%

Unusual mandible fracture caused by metallic spear: case report and literature review

Costa

Ribeiro

Greco

et al. 2020

J Oral Med Oral Surg

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Spear gun projectiles injuries are are very rare and are usually related to lack of attention during water- sports or fishing practices. This study aims to describe an unusual case of facial injury associated with a mandibular fracture after a spear gun shot. A 38-years-old man was admitted with a history of penetrating injury on the face caused by an accidental shot from a spear gun. After the initial stabilization and examination, the patient was taken to the surgical room for the removal of the projectile. The post-operative care was uneventful and the patient was discharged with no concerns, being in follow-up for one year with no signs of infection or malocclusion. The surgical procedure should be done as soon as possible and the removal of the spear must be done carefully, under direct vision, with or without surgical incisions. Major complications can occur after spear injuries, therefore, the patient must be observed in the postoperative period and should maintain follow up until the end of the rehabilitative process.

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Craniocerebral penetrating injury caused by a spear gun through the mouth

Cited by 14 publications

References 3 publications

A Child with Maxillofacial Injury by Three Pronged Spear Gun

A Child with Maxillofacial Injury by Three Pronged Spear Gun

Homicide by unusual‐edged weapons: Forensic considerations of two cases

Unusual mandible fracture caused by metallic spear: case report and literature review

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