Clinical Inspection and Image Exams Evaluation of Traumatic Wounds: A Case Report

Abstract

The face is in a position exposed to trauma, which often leads to soft tissue rupture, favoring the penetration and retention of foreign bodies. The present paper is a case report which aims to clarify some pitfalls in the evaluation of traumatic wounds. A 28-year-old female who was a victim of an automobile accident, presenting lacerations in the face already sutured during our evaluation, with suspicion of bone fractures. Computed tomography evaluation showed comminuted fractures in the anterior frontal sinus wall and foreign bodies similar to glass fragments within the frontal sinus and right orbit. Surgical treatment was planned and performed to reduce bone fractures and remove the foreign bodies. The patient is in postoperative follow-up without major complaints. The present study contributes to the current literature with a case where a careful diagnosis, with the collection of the history of the wounds, careful inspection of the wounds under suitable conditions lead to a good treatment of the lacerations and identification of foreign bodies.