Transorbital Orbitocranial Penetrating Injury with an Iron Rod

Agrawal, Amit; Reddy, Vishwanath; Kumar, S Satish; Hegde, Kishor V.; Rao, G. Malleswara

doi:10.1055/s-0035-1551545

Cited by 13 publications

(11 citation statements)

References 27 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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“…[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…”

Section: Discussionmentioning

confidence: 99%

“…10,21,[25][26][27][28] The outcome of craniofacial penetrating injuries depends on the mechanism of injury and the underlying damage to neurovascular structures. 10,17,22,24 If there is no major damage to these structures, the patients with penetrating craniofacial trauma have favorable outcome. 10,17,22…”

Section: Discussionmentioning

confidence: 99%

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

Agrawal

Kumar

Kiran

et al. 2020

Indian Journal of Neurotrauma

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Beveling of the calvarial bone is reported in firearm exit wounds and stabbing injuries in forensic literature. Beveling in entry wounds is rare. We report a case of a 27-year-old man who sustained a nonfatal penetrating craniofacial injury due to motorbike brake handle, and completely recovered after conservative management. We describe the characteristic inward as well outward beveling on imaging due the penetrating trajectory of the motorbike break handle.

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] These injuries can lead to minor penetrating entry wounds to massive external wounds associated with extensive tissue damage. [1][2][3][4][5][6][7][8][9][10][11][12] The extent of injuries depends on the size, shape, velocity (low vs. high) of penetrating object, site, and area of contact at the time of impact. 19,20 As we observed in the presented case, if a person is involved in motor vehicle accident, the associated fall can add to the extent and severity of injuries.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9] In addition to massive injury to the facial tissue and craniofacial skeleton, there may be retained foreign-body fragments that will add to the difficulty in the management of these patients. [1][2][3][4][5][6][7][8][9][10][11][12] We present a case of man who sustained massive penetrating craniofacial injuries due to polyvinyl chloride (PCV) pipe and discuss the management.…”

Section: Introductionmentioning

confidence: 99%

Massive Penetrating Craniofacial Trauma due to Polyvinyl Chloride Pipe

Srinivas

Agrawal

Sandeep

et al. 2017

IJNS

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).Penetrating craniofacial trauma can lead to massive injury to the facial tissue and craniofacial skeleton with retained bone as well as foreign body. We present a case of 45-year-old man who sustained massive penetrating craniofacial injuries due to polyvinyl chloride (PVC) pipe. CT scan with bone window of the brain and craniofacial region showed in driven fragment of PVC pipe into the nasal cavity with multiple fractures and soft tissue swelling. CT brain showed compound and comminuted depressed fracture of the right frontal bone with underlying contusion of the brain and specks of pneumocephalus. However, detailed examination of the CT scan showed that there was no breach in the anterior cranial fossa and that both the injuries were caused by separate pipe fragments. The wound was debrided; all loose bone fragments, necrotic brain matter, and broken pipe fragments were removed. The patient recovered well after surgical procedure. The approach is aimed to protect the airway, maintain vital parameters followed by remove all the foreign body and necrotic tissue, and restore the functioning and aesthetics. A careful evaluation of the CT scan is mandatory to rule out breach in the skull base, and if the skull base is intact, a limited craniotomy will save the time and associated morbidity. AbstractKeywords ► craniofacial injury ► penetrating injury ► foreign body ► hollow pipe ► skull fracture Indian

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Transorbital Orbitocranial Penetrating Injury with an Iron Rod

Cited by 13 publications

References 27 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

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

Massive Penetrating Craniofacial Trauma due to Polyvinyl Chloride Pipe

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