Management of Penetrating Maxillofacial Trauma as a Result of Industrial Accident: Report of an Unusual Case

Payami, Ali; Montazem, André H.

doi:10.1177/2472751220949413

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Bone fixation is necessary if a fracture is present. Infection control by using appropriate antibiotics is also a key to success [1,2,6,7]. The treatment is complemented by appropriate resuscitative management (e.g., volume replacement and securing the airway) along with an evaluation of bleeding and airway obstruction [2].…”

Section: Discussionmentioning

confidence: 99%

“…Penetrating wounds to the face are cosmetically devastating and life-threatening injuries that often necessitate emergent management [1,2]. X-ray, ultrasonography, and computed tomography (CT) can be used to identify remaining foreign bodies requiring removal, but some foreign bodies may be difficult to detect depending on their type or size [2,3].…”

Section: Introductionmentioning

confidence: 99%

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Residual foreign body inflammation caused by a lumber beam penetrating the facial region: a case report

Choi

Hwang

et al. 2023

Arch Craniofac Surg

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Penetrating wounds to the face are cosmetically devastating and can be life-threatening. If the foreign body causing the penetrating wound is a piece of wood, small remnants might be left behind after the initial treatment. A 33-year-old male patient presented to the emergency center after a piece of lumber pierced his face as a passenger in a traffic accident. The patient’s vital signs were stable, and emergency surgery was performed to remove the foreign body and repair the soft tissue. No noteworthy complications were seen after open reduction and internal fixation of the facial bone fractures. Seven months after the accident, the patient underwent scar revision along with full-thickness skin grafting for post-traumatic scars. After the surgery, pus-like discharge which was not previously present was observed, and the graft did not take well. A residual foreign body, which was the cause of graft failure, was found on computed tomography and the remaining foreign body was removed through revision surgery. The patient is receiving outpatient follow-up without any complications 6 months after surgery. This case demonstrates the importance of performing a careful evaluation to avoid missing a residual foreign body, especially if it is of wooden nature.Abbreviation: CT, computed tomography

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Residual foreign body inflammation caused by a lumber beam penetrating the facial region: a case report

Choi

Hwang

et al. 2023

Arch Craniofac Surg

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“…Penetrating trauma to the face by organic foreign bodies or metal materials pose a risk of causing the wound to become infected. 1,2,4 The initial management of patients with penetrating trauma can be challenging and requires a comprehensive understanding and multidisciplinary approach.…”

Section: Introductionmentioning

confidence: 99%

Penetrating Facial Injury by Motorcycle Gear Shifter Lever: A Case Report

Zulfikar¹,

Tripana

2022

Bioscmed

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Background: Penetrating facial injury can cause injury to the bone and soft tissue surrounding. Penetrating facial injury caused by organic foreign bodies or metal material increases the risk of infection in the wound. Identification of the location of the entry of foreign bodies, whether the vital organs, the presence of injury to the nerves, vascular, visual, and other muscle damage is very important to do. For that immediate and optimal treatment can be applied to reduce morbidity and mortality. Case presentation: A 13 years old boy arrived in ER admission with penetrating facial injuries. A corpus alienum penetrated the patient’s face at the medial meatus of the right eye along with bleeding from the nose and around the wound. Evaluation and management of the penetrating facial injury were performed in accordance with the ATLS protocol. The aim of management in penetrating facial injuries is to remove the foreign body with minimal trauma to surrounding structures and to maintain normal function and optimal appearance. The patient underwent emergency surgery the remove corpus alienum and wound exploration under general anesthesia. Postoperative evaluation shows no bleeding or signs of infection, no visual impairment, and tear flow were found. Conclusion: Penetrating facial injury due to motorcycle gear shifter lever is rare. Good Management of penetrating facial injury will give satisfactory results.

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Penetrating facial injuries may cause intracranial damage

Oley

Tangkilisan

et al. 2021

Journal of Pediatric Surgery Case Reports

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Management of Penetrating Maxillofacial Trauma as a Result of Industrial Accident: Report of an Unusual Case

Cited by 3 publications

References 15 publications

Residual foreign body inflammation caused by a lumber beam penetrating the facial region: a case report

Residual foreign body inflammation caused by a lumber beam penetrating the facial region: a case report

Penetrating Facial Injury by Motorcycle Gear Shifter Lever: A Case Report

Penetrating facial injuries may cause intracranial damage

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