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Ulus Travma Acil Cer · Sep 2014
Case ReportsA shocking craniofacial penetrating injury by a steel bar.
- Po Yuan Chen, Sheng Fa Yao, An Xiu Dai, Han Jung Chen, and Kuo Wei Wang.
- Department of Neurosurgery, E-da Hospital, I-shou University, Kaohsiung, Taiwan.
- Ulus Travma Acil Cer. 2014 Sep 1;20(5):382-4.
AbstractOwing to the diversity in cause and damage, there is no standard surgical treatment method for a complicated penetrating craniofacial injury. The treatment of a complicated penetrating head injury caused by a steel bar is presented here. 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. 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. Despite the lack of standardized surgical treatment for a complicated penetrating craniofacial injury, aggressive treatment by a multidisciplinary team can result in good outcomes.
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