Orbitocranial War Injuries: Report of 14 Cases

Janković, Stipan; Buča, Ante; Bušić, Željko; Žuljan, Igor; Primorac, Dragan

doi:10.1093/milmed/163.7.490

Cited by 11 publications

(8 citation statements)

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“…This implant is favored for its cleanliness, ease of placement, and low rate of late extrusion. Tenon's capsule and conjunctiva are sutured over the implant in a multilayered fashion [33].…”

Section: Open-globementioning

confidence: 99%

Combat ocular trauma and systemic injury

Weichel

Colyer

2008

Current Opinion in Ophthalmology

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Section: Open-globementioning

confidence: 99%

Combat ocular trauma and systemic injury

Weichel

Colyer

2008

Current Opinion in Ophthalmology

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“…One patient died in the hospital, blindness was present in eight patients, light perception positivity and projection positivity were present in four patients, and visual acuity was 0.1 in one patient. Several days after initial treatment, complications such as cerebrospinal fluid leaking, cerebral abscess, meningitis or epilepsy appeared in some patients ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Penetrating Orbitocranial Injury

Klančnik

Ivanišević

Lupi-Ferandin

et al. 2018

ACC

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SUMMARY – A case of a 37-year-old female patient is presented. The patient was admitted to the Surgical Emergency Unit after accidental fall on a metal rod when she had sustained stab injury of the right orbit with penetration into the right frontal brain lobe. Multi-slice computed tomography (MSCT) showed penetrating injury and fracture of the right orbital roof without eyeball damage and endocranial impressed bone fragments into the right frontal brain lobe. Urgent surgical intervention was performed by a maxillofacial surgeon and neurosurgeon, including reposition of bone fragments of the orbital roof and cranioplasty. Reconstruction of Tenon’s capsule of the right eyeball was performed by an ophthalmologist. From the intraoperative wound swab of the orbit, Bacillus cereus was isolated, therefore the patient was administered ciprofloxacin and rifampicin as recommended by an infectious disease (ID) specialist. Follow up brain MSCT at 15 days and magnetic resonance imaging of the brain at 25 days showed brain edema in the right frontal area and signs of local brain abscess. Intravenous administration of the ciprofloxacin and metronidazole antibiotics with corticosteroids for edema suppression were ordered by the ID physician. Fourteen weeks after this therapy, brain MSCT showed complete abscess regression and no neurologic deficit with only mild psychomotor changes.

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“…Penetrating orbital and intracranial trauma is a common type of missile (gunshot or shrapnel) injury in high-crime urban and battlefield settings (1,5,7,9,12). Traumatic carotid injury resulting from penetrating nonmissile objects, however, is rare (6,13).…”

Section: Discussionmentioning

confidence: 99%