Knife inflicted penetrating injuries of the maxillofacial region: A descriptive, record-based study

Meer, Mohammed; Siddiqi, Allauddin; Morkel, Jean; Rensburg, Pieter Janse van

doi:10.1016/j.injury.2009.05.003

Cited by 33 publications

(45 citation statements)

References 17 publications

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“…4,7 The lesions caused with sharp objects need a special attention, by the need of imaging studies with the 3D reconstruction of soft and hard tissues in the diagnosis. For all the lesions in the facial region a vascular CT scan, carefully physical exploration and careful management of anatomic structures, especially the airway, nerves, arteries, and veins are needed.…”

Section: Resultsmentioning

confidence: 99%

Stab wound in the facial region (Jael`s Syndrome), case report

Jorge¹,

Stefan²,

Raúl³

et al. 2018

MOJCR

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Described by Jefferson in 1968, Jael's syndrome is described as an intentional injury caused by a knife in the skull or face. The clinical and radiographic diagnosis is essential to know the risk of damage to the anatomical structures and the location of the foreign body, treatment includes removal, wound examination, suture, tetanus immunization and antibiotic prescription. This article describes the clinical case of a male patient with knife wound with a foreign blade in the buccal, masseter and mastoid region and its surgical treatment.

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Section: Resultsmentioning

confidence: 99%

Stab wound in the facial region (Jael`s Syndrome), case report

Jorge¹,

Stefan²,

Raúl³

et al. 2018

MOJCR

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“…These penetrating lesions can be superficial or deep, and they may be life threatening when the major blood vessels of the face are involved 1–3. Moreover, when such an injury extends to the oral or nasal cavity, excessive bleeding may promote airway obstruction 3. Thus, in these cases, a rapid primary therapeutic approach should be multidisciplinary and sequential.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, in these cases, a rapid primary therapeutic approach should be multidisciplinary and sequential. Such an approach should begin with proper airway maintenance and haemodynamic stabilisation, provided by the trauma unit, followed by a careful neurological, ophthalmological and vascular evaluation to prevent life-threatening complications 3. The definitive treatment of these penetrating injuries generally occurs at a separate, later appointment, typically under general anaesthesia 2 4–6…”

Section: Introductionmentioning

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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“…6Y8 Among penetrating injuries, those caused by firearms are more common and usually cause more damage when compared with those caused by stabbings, owing to the higher kinetic energy of the impact mechanism. 9 Although penetrating stab wounds to the head and neck are rare, they are also of great importance because they may involve life-threatening situations, 3,10,11 either in the form of heavy bleeding and/or airway obstruction. 12,13 Lingual artery injuries are quite rare, 2 and most cases are associated with surgical accidents.…”

mentioning

confidence: 99%

“…3,13,14,18Y20 The literature has presented a series of cases of stab wounds to the face, in which the object is still within the tissues of the face, and all planning is performed for the safe removal of this object; however, the main concern in removing these objects is that they can damage major blood vessels and their removal may cause major bleeding that is difficult to control. 11,21,22 However, when the object that caused a vascular lesion has already been removed, significant complications can occur, and these situations are rarely described in the literature.…”

mentioning

confidence: 99%

Life-Threatening Expansive Sublingual Hematoma

Ribeiro¹,

Silva²,

Menezes³

et al. 2014

Journal of Craniofacial Surgery

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Vascular injuries are a constant risk in facial trauma, although bone and soft tissues of the face have provided some protection to the larger blood vessels. However, penetrating injuries usually do not have this type of protection and can damage significant vascular arteries. This article presents a case of a stab wound, which led to airway obstruction arising to a large sublingual hematoma due to lingual artery injury. A healthy 44-year-old man was stabbed in the submandibular region and admitted with an airway obstruction. He was subjected to an emergency tracheotomy and evolved with progressive sublingual edema. Computed tomography (CT) angiography showed a left lingual artery injury with the formation of an expansive hematoma. The CT angiography findings helped to identify the cause of the hematoma and guided the surgery to drain the hematoma after ligation of the lingual artery. The treatment was safely performed as planned and evolved uneventfully. The patient recovered fast and well and presented normal functions 6 months after the treatment. This surgical technique is an effective method for treating such injuries because it can be safely performed when guided by CT angiography. The authors argue that the demand for vascular lesions should be routine in patients who have facial trauma.

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Knife inflicted penetrating injuries of the maxillofacial region: A descriptive, record-based study

Cited by 33 publications

References 17 publications

Stab wound in the facial region (Jael`s Syndrome), case report

Stab wound in the facial region (Jael`s Syndrome), case report

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

Life-Threatening Expansive Sublingual Hematoma

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