Penetrating craniofacial arrow injury

Abstract

Arrow injuries are an extinct form of injury in most parts of the developed world, but are still seen, albeit infrequently in developing countries. Reports of penetrating injuries of the craniofacial region secondary to projectiles are few and far between. The morbidity-free outcome of surgical removal, in case of penetrating arrow injuries, despite the delay in presentation and, moreover, in the emergency surgical practice, are the salient points to be remembered whilst managing such cases, for ‘what the mind knows is what the eyes see and what the eyes see is what can be practiced’. We report the case of a patient who was attacked by a projectile fired from a crossbow. Immediate surgery under general anesthesia was required to remove the arrow, with utmost care to avoid any neurovascular compromise to the facial nerve, as well as minimize postoperative complications such as otitis media and subsequent meningitis.

Non-fatal Bihemispheric Penetrating Brain Injury from a Crossbow Arrow with Good Clinical Outcome: Case Report

“…Palavras-chave ► trauma craniocerebral ► lesão encefálica penetrante ► corpos estranhos ► hemorragia subaracnoideia póstraumática communal clashes, disputes between farmers and cattle herdsmen, and cattle theft. 4 Despite having a relative low-velocity (as fast as 58 m/sec) compared with firearm projectiles, the sharpness and propulsion force of the crossbow may be enough to enable penetrating injuries of the skull at short range. 5 In these cases, the conse-quences of the PBI depend on multiple factors, including the size of the penetrating object, the energy and speed of entry, the intracranial path, changes in intracranial pressure, and associated injuries.…”

Double Beveling on Imaging: A Characteristic Feature of Entry and Exit Penetrating Injury Wound

“…[10][11][12][13][14] Apart from the injuries to facial skeleton, penetrating craniofacial injuries can lead to damage to orbit and its contents, cerebrospinal fluid (CSF) leak and its sequel (risk of meningitis or abscess), intracranial hematomas, injury to neurovascular structures, and retained foreign bodies. 11,12,[15][16][17][18][19][20][21][22] Indian J Neurotrauma:2020;17:143-145…”

The effects of crossbow impacts onto a common automotive vehicle side window—a preliminary study

“…In recent years the number of criminal incidents involving crossbows in the UK has become more apparent, with many incidents resulting in either injuries or fatalities [1][2][3][4][5]. Whilst the apparent increase of these incidents could potentially be attributed to media reporting bias, their reporting in academic literature has risen over the last few years [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Although the majority of incidents involving injury occur within open environments, there is evidence that individuals within vehicles are at risk [21,22].…”