An unusual case of orbito-frontal rod fence stab injury with a good outcome

作者：Miscusi Massimo; Arangio Paolo; De Martino Luca; De Giorgio Fabio^*; Cascone Piero; Raco Antonino

来源：BMC Surgery, 2013, 13(1): 31.

DOI：10.1186/1471-2482-13-31

• Rod
• Penetrating head injury
• Orbital trauma
• Cranial reconstruction

Background: High-energy non-missile penetrating injuries (stab injuries) account for a small percentage of penetrating head injuries and they present a series of special features.
Case presentation: A 35-year-old man suffered orbito-frontal? and trans-cranial injuries after falling five meters from a terrace onto a rod iron fence. The removal of the metal rod was performed outside the operating room. The orbital roof was exposed and repaired through a bifrontal craniotomy and the frontal sinuses were cranialised. The orbital floor and zygoma were plated with micro-screws.
Conclusion: The patient recovered without significant complications, apart from a slight paresis of the right superior rectus; the ocular globe remained intact.
The positive outcome obtained in this very challenging case is attributable to the competency of the Neurotrauma Unit and to the use of a synergistic approach which involved the contribution of neurosurgeons, maxillo-facial surgeons, radiologists and anaesthesiologists.

• 出版日期2013-8-13
• 单位河北医科大学