A shocking craniofacial penetrating injury by a steel bar

作者：Chen Po Yuan; Yao Sheng Fa; Dai An Xiu; Chen Han Jung; Wang Kuo Wei^*

来源：Turkish Journal of Trauma & Emergency Surgery, 2014, 20(5): 382-384.

DOI：10.5505/tjtes.2014.39338

• Cerebrospinal fluid leak
• foreign bodies
• mandibular injuries
• orbital fractures

Owing 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.

• 出版日期2014-9