Penetrating arrow injuries of the maxillofacial region

Olasoji, H O; Tahir, Asif Ali; Ahidjo, A; Ag, Madziga

doi:10.1016/j.bjoms.2004.10.026

Cited by 25 publications

(26 citation statements)

References 6 publications

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“…Because such injuries can also penetrate the orbit the patient's ocular activity motility and neurological commitment should be examined 2 4 11. Postponing treatment is necessary in such cases due to the possible presence of more severe neurological cervical thoracic or abdominal injuries which if present would initially contraindicate this type of surgery 13…”

Section: Discussionmentioning

confidence: 99%

Jael syndrome: removal of a knife blade impacted in the maxillofacial region under local anaesthesia

et al. 2013

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The presence of retained foreign bodies in the maxillofacial region as a consequence of penetrating injuries from knives is poorly documented in the scientific literature. This manuscript reports the case of a 30-year-old Caucasian with a knife blade lodged in the maxillofacial skeleton. Following clinical and radiographic exams, it was determined that the object had penetrated through the left nostril and nasal septum, in the direction of the right maxillary sinus, and remained impacted without causing injury to important anatomical structures. After systemic assessment and determination of the exact location of the knife blade, the object was removed in an outpatient setting under local anaesthesia. This manuscript aims to report a rare case of a transfacial penetrating injury involving a knife blade that was removed in an outpatient setting while also discussing the proper conduct and treatment options for similar cases in the context of a brief literature review.

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Section: Discussionmentioning

confidence: 99%

Jael syndrome: removal of a knife blade impacted in the maxillofacial region under local anaesthesia

et al. 2013

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“…The purpose of surgical treatment is the removal of the foreign body, wound exploration, irrigation, achieving normal function of the damaged bone and soft tissues, and morphological reconstruction [5]. Radiologic imaging is recommended in the postoperative period to determine whether or not the foreign body has been completely removed in surgery, and after six weeks of surgery to assess the recovery status of the bone and soft tissues [1]. In the present case, the foreign body penetrated transorally towards the base of the skull.…”

Section: Discussionmentioning

confidence: 99%

“…The third and final anatomical zone is between the mandibular angulus and base of the skull. Important structures in this zone include the eyes, distal part of the internal carotid artery, vertebral artery, salivary glands, pharynx, and spinal cord [1]. As in all trauma patients, the first step in the treatment of patients with penetrating injuries on the head and neck region is to stabilize the patient according to the advanced trauma life support (ATLS) protocol by keeping the airway open, controlling the bleeding, and treating shock [1][2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Even though penetrating foreign bodies on the head and neck region are mostly composed of glass, knives, and bullets, cases of a scythe, harpoon, screwdriver, arrow, and bamboo chopstick have been published. Penetration may be limited to superficial tissues, as well as deep tissues or even intracranial structures [1][2][3][4]. The treatment for penetrating foreign bodies is risky regarding surgery, due to the possibility of damage to major anatomical structures during removal of the foreign bodies [5].…”

Section: Introductionmentioning

confidence: 99%

“…Injuries caused by the penetration of foreign bodies into the hard and soft tissues of the body are called penetrating injuries [1]. Penetrating injuries on the head and neck region are often the result of deliberate injuries performed by another person and are most commonly seen in young men [2].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An unusual transoral penetrating injury by scissors in a child and principles of management

Özdemir¹,

Orhan²

2018

Ann Clin Anal Med

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Injuries caused by the penetration of foreign bodies into the hard and soft tissue are called penetrating injuries. Penetrating injuries on the head and neck region are often the result of deliberate injuries performed by another person. A 4-year-old girl was admitted to the emergency room with penetrating injury due to the insertion of scissors to the right cheek. In her physical examination, it was observed that a sharp object of approximately 7cm (tip of scissors) had penetrated towards the base of the skull from the right cheek of the patient. No neurological deficits were detected. After antibiotic therapy and tetanus prophylaxis, the patient was operated on, and the penetrant object was removed. No neurological damage was detected in the postoperative 1-year follow-up.

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A hunting arrow traumatism to the head: A case report from Niger

Ibrahim

Murhega

Sanoussi

2023

Clinical Case Reports

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Key Clinical MessageArrow injuries have not disappeared in our environment despite the advances in the development of warfare tools in the world. All regions of the body can be the target of these arrows and in particular the cephalic region whose gravity will depend on the structures reached.AbstractWith the development of modern weapons of war, arrow wounds have become rare in developed countries, but they are still common in developing countries, including Niger. These injuries are often serious and life‐threatening when they are in the head and neck region, due to the presence of major vessels and vital organs in these areas of the body. Extraction of these arrows is usually difficult due to the proximity of major vital structures. Unskilled extraction can aggravate the injury or result in unintentional damage to vital structures with imminent risk of death. We present the case of a patient with a homemade arrow to the head in the left periorbital region that we successfully extracted at the National Hospital in Niamey. Our objective is to highlight the experience with this patient and review some reports in the literature.

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Penetrating arrow injuries of the maxillofacial region

Cited by 25 publications

References 6 publications

Jael syndrome: removal of a knife blade impacted in the maxillofacial region under local anaesthesia

Jael syndrome: removal of a knife blade impacted in the maxillofacial region under local anaesthesia

An unusual transoral penetrating injury by scissors in a child and principles of management

A hunting arrow traumatism to the head: A case report from Niger

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