Penetrating nose and maxillary sinus injury with a metal part of a military gun

Yousefi, Jaleh; Jannat, A Mobasher; Ajudani, Reza

doi:10.1136/jramc-2015-000604

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…Eight case reports involving nine patients with steel rod impalement injuries involving the spine were identified in an extensive review of the English literature on PubMed (Table 1). We concluded that steel rod impalement injuries sparing the spine are not extremely rare, with different entrance sites, such as the oral cavity, [2] orbita, [3] nose, [4] cranium, [5] neck, [6] thorax, [7] abdomen, [8] hand, [9] rectum, [10] buttock, [11] and groin. [12] Most victims of steel rod impalement injuries are construction workers, and we believe that occupational safety specialists have to focus on this type of injury to decrease the incidence of this mostly preventable condition.…”

Section: Discussionmentioning

confidence: 92%

Steel Rod Impalement Injuries Involving the Spine: Case Reports and Literature Review

Sarica

Yücetaş

Üçler

et al. 2018

Ulus Travma Acil Cerrahi Derg

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Steel rod impalements, mostly experienced by construction workers due to falls from heights, are known entities, but only some individuals unfortunately suffer spinal cord injury. The management of the spine involved injuries is challenging due to the lack of guidelines, various clinical presentations resulting from different trajectories, and high risk of infection. We report a case of steel rod impalement involving the spinal canal and review the literature to enhance the management strategies and to identify the risk factors for possible complications, particularly infection. A 37-year-old male construction worker presented to our emergency department due to falling onto a concrete reinforcing steel rod that penetrated through his perineum to the L4 vertebra. Examination revealed paralysis and sensory loss of the left foot. The rod was removed in the operating room (closed removal) under general anesthesia, followed by laparotomy. Rectal laceration was primarily repaired, and colostomy was performed. In a separate session, laminectomy was performed. At 3 months post-discharge, the patient was ambulatory with armrest based on the same motor examination performed on presentation This case is a good example of careful preoperative planning, multidisciplinary involvement, and appropriately sequenced interventions resulting in an acceptable outcome for an injury with high morbidity and mortality and demonstrates the feasibility and potential benefits of closed removal of the rod in an operating room just before laparotomy. The presence of an intestinal perforation increases the infection risk, but infections can still be prevented in this setting. Shorter time intervals between the incidence and surgery may reduce the infection rate.

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Section: Discussionmentioning

confidence: 92%

Steel Rod Impalement Injuries Involving the Spine: Case Reports and Literature Review

Sarica

Yücetaş

Üçler

et al. 2018

Ulus Travma Acil Cerrahi Derg

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“…Introduction of foreign bodies to the paranasal sinuses may occur through a variety of traumatic or iatrogenic events. Traumatic ones include pellets or bullets from gunshot injuries, wood, pieces of glass, and stones, while iatrogenic ones include teeth, dental cement, and pieces of broken forceps [10–12]. …”

Section: Discussionmentioning

confidence: 99%

An Unusual Pediatric Case of Allen Key Penetrating Trauma in Maxillofacial Region

Görgülü

Koç

et al. 2018

Case Reports in Radiology

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Paranasal sinus (PNS) foreign bodies are not common. They are usually due to penetrating trauma and iatrogenic events. On imaging, radiopaque foreign bodies can easily be detected by X-ray views of PNS. CT scan may be necessary to evaluate the exact location of foreign body in some cases. Foreign body in the PNS should be removed as early as possible. Approach and technique of its removal depend upon its size, shape, and location. Nasal endoscopic examination can be helpful for these cases. We present a pediatric girl case of penetrating FB injury inserted into the maxillary sinus towards nasopharynx in a suddenly braking car.

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Combined external and endoscopic transnasal approach with use of a diamond burr in the removal of a fishing harpoon hook traversing bilateral sphenoid sinuses in a 22-year-old man

et al. 2021

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A 22-year old construction worker was shot with a fishing harpoon gun on the left side of his face. He consulted at the emergency room 12 days postinjury, stable but with blurring of vision on the right. The shaft of the harpoon was protruding at the left preauricular area; the tip was neither visible nor palpable. Craniofacial CT scan and skull anteroposterolateral radiographs revealed the tip of the harpoon to be at the right orbital apex. A hook attached 1 cm from the tip was lodged in the sphenoid sinus. The hook was dismantled from the shaft via a combined external and endoscopic transnasal approach, enabling the shaft to be gently pulled. The hook, together with the tip, were removed endoscopically. The patient’s visual acuity improved. He was discharged after 2 days on oral antibiotics with no deficits on follow-up.

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Penetrating nose and maxillary sinus injury with a metal part of a military gun

Cited by 4 publications

References 8 publications

Steel Rod Impalement Injuries Involving the Spine: Case Reports and Literature Review

Steel Rod Impalement Injuries Involving the Spine: Case Reports and Literature Review

An Unusual Pediatric Case of Allen Key Penetrating Trauma in Maxillofacial Region

Combined external and endoscopic transnasal approach with use of a diamond burr in the removal of a fishing harpoon hook traversing bilateral sphenoid sinuses in a 22-year-old man

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