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A shocking craniofacial penetrating injury by a steel bar [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2014; 20(5): 382-384

A shocking craniofacial penetrating injury by a steel bar

Po Yuan Chen1, Sheng Fa Yao2, An Xiu Dai3, Han Jung Chen1, Kuo Wei Wang1
1Department Of Neurosurgery, E-da Hospital, I-shou University, Kaohsiung,taiwan
2Department Of Plastic Surgery, E-da Hospital, I-shou University, Kaohsiung, Taiwan
3Department Of Otolaryngology, E-da Hospital, I-shou University, Kaohsiung, Taiwan

Background: Owing to the diversity in cause and damage, there is no standard surgical treatment method for a complicated penetrating craniofacial injury. We report the treatment of a complicated penetrating head injury caused by a steel bar.
Case report: A 66-year-old woman fell onto a steel bar at a construction site, and it penetrated the mandible, entered the sinus and orbital cavities, and reached the base of the frontal bone.
Results: A multi-disciplinary team including a neurosurgeon, otolaryngologist, and plastic surgeon was involved in removing the steel bar. The patient survived without sequelae except for blindness in the right eye.
Conclusions: Despite the lack of standardized surgical treatment for a complicated penetrating craniofacial injury, aggressive treatment by a multidisciplinary team can result in good outcomes.

Keywords: orbital fractures, cerebrospinal fluid leak, foreign bodies, mandibular injuries

Po Yuan Chen, Sheng Fa Yao, An Xiu Dai, Han Jung Chen, Kuo Wei Wang. A shocking craniofacial penetrating injury by a steel bar. Ulus Travma Acil Cerrahi Derg. 2014; 20(5): 382-384

Corresponding Author: Kuo Wei Wang, Taiwan
Manuscript Language: English