Fan blade injury to the maxillofacial region: A case report

Sedhom, Ashraf; Leathers, Richard; Belton, Michael J; Ghobrial, Gergis

doi:10.1016/s0278-2391(98)90925-9

Cited by 13 publications

(5 citation statements)

References 5 publications

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“…4 However, case reports and series of any kind of fan blade injury are scarce. [5][6][7] Some characteristics of farm children have previously been associated with farm injury and mortality in the United States, including male sex, 1,8,9 age (with increased injury frequency at ages 3-4 years 10 and 15-19 years 1 ), and lack of supervision 11 Factors related to supervision could have a role in agricultural machinery death. Increased frequency of injury and mortality has also been related to the intensity of farming activity and seasonal variation.…”

Section: Discussionmentioning

confidence: 99%

Five years’ experience at a single centre of craniocerebral injury from winnowing fan blades

Kumar

Shankar

Pandey

et al. 2010

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 99%

Five years’ experience at a single centre of craniocerebral injury from winnowing fan blades

Kumar

Shankar

Pandey

et al. 2010

Journal of Clinical Neuroscience

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“…5,15,19,47 Some authors believe that a CT scan is not necessary in the case of a large metallic object due to the associated artifact, which may compromise imaging of key adjacent structures. 38 However, we found in the case of orbital penetration by an industrial hook (Case 2) that noncontrast CT scanning was helpful in understanding the anatomical basis of our patient's neurological deficits. Cranial radiographs may be useful in cases of penetrating injury by metallic foreign bodies to evaluate for intracranial penetration.…”

Section: Diagnosis Of Tpimentioning

confidence: 83%

“…40,42 Premature removal of a penetrating foreign body outside of the controlled environment of the operating room may, in rare cases, lead to fatal hemorrhage. 20,38 Because of the unusual nature of transorbital injury, few data exist on the timing of the initiation and duration of antibiotic therapy. However, based on the low risk of antibiotic therapy compared with consequences of CNS infection caused by the foreign body, we recommend initiation of antibiotic therapy on admission.…”

Section: Treatment Of Tpimentioning

confidence: 99%

Transorbital penetrating injury: case series, review of the literature, and proposed management algorithm

Schreckinger¹,

Orringer

Thompson

et al. 2011

JNS

169

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Transorbital penetrating injury (TPI), an uncommon subset of head trauma, requires prompt multidisciplinary surgical intervention. While numerous case reports appear in the literature, there is a lack of discrete recommendations for initial evaluation, surgical intervention, and postoperative care of patients with TPI. A retrospective review of 4 cases of TPI at the University of Michigan Health System was undertaken to assess for diagnosis, treatment, and follow-up. In addition, a PubMed search using the terms "penetrating orbital trauma," "penetrating orbital injury," "transorbital penetration," and "transorbital penetrating injury" were used to search for articles discussing the presentation and management of penetrating orbital trauma. All 4 of the patients at the University of Michigan underwent focused physical examination performed by a multidisciplinary trauma team followed by dedicated maxillofacial and head CT scanning. The patients' treatments varied, depending on the mechanism and extent of the injury. An analysis of the case series presented here as well as other published cases suggests an algorithm for diagnosis and treatment for patients with TPI, which includes focused evaluation, diagnostic imaging with maxillofacial CT scanning, and management of the injury that focuses on the path of penetration and the presence of the foreign body in situ at the time of presentation. Magnetic resonance imaging is indicated in patients who have indwelling wooden foreign bodies. Angiography should be performed in patients with suspected vascular injury. Treatment decisions should be made by a multidisciplinary team with input from neurosurgery, ophthalmology, otolaryngology, and maxillofacial surgery.

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“…Even if major vessel damage is not observed on imaging, the penetrating foreign body should not be blindly removed from a place other than the operating room. 11 19) In order to cope with bleeding of major vessels or their branches that may occur after removal of the foreign body, the penetrating foreign body must be removed in the operating room.…”

Section: Discussionmentioning

confidence: 99%

Fencing Knife-Induced Transorbital Penetrating Brain Injury: A Case Report

Kim,

Jung,

Chung

2023

Korean J Neurotrauma

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Penetrating brain injury (PBI) is a rare type of traumatic brain injury, which accounts for 0.4% of all head trauma cases. In this study, we describe a 14-year-old male adolescent who sustained a transorbital penetrating injury caused by a fencing knife. Although the patient visited the hospital after the foreign body had been removed, we diagnosed a PBI based on identification of a linear injury trajectory extending from an orbital roof fracture to the contralateral parietal lobe, using three-dimensional reconstruction of the hemorrhage. The patient fully recovered after conservative treatment. We hope that sharing our experience will serve as a guideline for the clinical management of PBI.

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Fan blade injury to the maxillofacial region: A case report

Cited by 13 publications

References 5 publications

Five years’ experience at a single centre of craniocerebral injury from winnowing fan blades

Five years’ experience at a single centre of craniocerebral injury from winnowing fan blades

Transorbital penetrating injury: case series, review of the literature, and proposed management algorithm

Fencing Knife-Induced Transorbital Penetrating Brain Injury: A Case Report

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