Orbital Foreign Bodies after Penetrating Gunshot Wounds: Retrospective Analysis of 22 Cases and Clinical Review

Gönül, Engin; Akbörü, M; İzci, Yusuf; Tımurkaynak, Erdener

doi:10.1055/s-2008-1053401

Cited by 23 publications

(6 citation statements)

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“…[17,18,20,23,[29][30][31] Orbital and maxillofacial injuries may be associated with CGW and must be evaluated precisely by the surgeon to avoid further morbidities. [6,14,17,32] The major limitations of our study are the lack of long term follow-up period and the small number of the patient population.…”

Section: Duraplasty 12mentioning

confidence: 97%

Prognostic Factors in Craniocerebral Gunshot Wounds: Analysis of 30 Patients from the Neurosurgical Viewpoint

Kirik

Yaşar

Durmaz

2020

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Craniocerebral gunshot wounds (CGW) are the most lethal injuries of the cranium. CGW is mostly secondary to military conflicts but may also be seen in civilian life. These injuries also have severe consequences, such as epilepsy, hydrocephalus, infection and late-term cognitive dysfunctions. The present study aims to present our series of CGW and to discuss the prognostic factors and consequences of these injuries. METHODS:The data of patients who were treated in our department for CGW between 2011 and 2019 were retrospectively reviewed in this study. The injury type, wounding site, surgical management and outcomes were analyzed. Radiological evaluation was also performed. RESULTS:Thirty patients were treated with the diagnosis of CGW. All of the patients were male and the mean age was 27.9 years. The frontal lobe was affected in 12 (40%) patients, while temporal lobe in eight, occipital lobe in six, parietal lobe in three, and posterior fossa in one patients. Twenty-three patients underwent surgical treatment, seven patients were treated conservatively. Thirteen (43.3%) patients died despite the treatment. CONCLUSION:Mortality in CGW is high. Ventricular injuries, bihemispheric or midline injuries, perforating injuries, brain stem injuries and low GCS score at admission are prognostic factors for CGW. Appropriate management is mandatory to obtain a better clinical outcome.

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Section: Duraplasty 12mentioning

confidence: 97%

Prognostic Factors in Craniocerebral Gunshot Wounds: Analysis of 30 Patients from the Neurosurgical Viewpoint

Kirik

Yaşar

Durmaz

2020

Ulus Travma Acil Cerrahi Derg

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“…[7,8] Post-traumatic CSF fistulas are severe complications of gunshot wounds, which may cause significant mortality and morbidity. [9,10] They may usually present with rhinorrhea or otorrhea, but sometimes CSF leaks may observe at the wound site after the surgical repair of the head or spinal injuries. The first choice is to repair the dural defect by surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Continuous Lumbar Drainage in Posttraumatic CSF Fistulas

Kirik¹

2020

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: This study aims to investigate the clinical outcomes of patients who underwent closed continuous lumbar drainage (CLD) for post-traumatic cerebrospinal fluid (CSF) fistula and to compare with those of non-traumatic patients. METHODS:The data of patients who were treated in the department of neurosurgery between January 2018 and December 2019 and underwent CLD were analyzed. The diagnosis, demographic characteristics, CSF results and clinical outcomes of these patients were evaluated. The outcomes of the patients with dura defect and CSF fistula due to trauma were compared with patients who underwent CLD for other diagnoses. RESULTS:In this study, 45 patients underwent CLD for 51 times. The mean age was 38.84 years, and 27 (60%) of the patients were male. Seven (15.55%) patients underwent CLD due to post-traumatic CSF fistula and 38 patients after tumor or malformation surgery. While five patients developed CSF fistula due to dura defect after gunshot injury, two patients developed CSF fistula secondary to motor vehicle accident. Staphylococcus Epidermidis was isolated in one patient among post-traumatic CSF fistula patients while Serratia Marcescens was isolated in patients with CSF fistula secondary to posterior fossa tumor surgery. While none of the seven patients died during the follow-up period in post-traumatic group, one of the 38 patients with CLD secondary to tumor surgery was lost due to sepsis in the follow-up period.CONCLUSION: CLD in post-traumatic CSF fistulas is a safe and effective treatment method. Especially in patients with gunshot wounds, CLD should be performed before revision surgery in the treatment of CSF fistula. Studies with different parameters are needed in larger trauma populations.

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“…Bu yaralıların 2/3'si hastaneye yetiştirilemeden ölürler. ABD'de ASY'ye bağlı kafa travmalarından dolayı ölüm oranı yıllık 2-4/100.000'dir (17) . Ayrıca ASY'de beynin hangi bölgesinin etkilendiği de prognoz açısından önemlidir.…”

Section: Etiyoloji Ve İnsidansunclassified

“…Frontal lob genellikle en sık etkilenen bölge olmakla birlikte, posterior fossa ve beyin sapı en az etkilenen bölgelerdir (12,18) . Orbita da kraniyal ASY'den etkilenebilir (17) . Ventriküler bölge ve beyin sapı yaralanmaları prognoz açısından en kötü olanlarıdır (14,16) .…”

Section: Etiyoloji Ve İnsidansunclassified