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

BMC Surgery

Antonino Raco¹  Piero Cascone²  Fabio De-Giorgio³  Luca De Martino¹  Paolo Arangio⁴  Massimo Miscusi⁴ 

[1] NESMOS Department, Rome, Italy;Department of Odontostomatologic and Maxillo-facial Sciences, Sapienza University of Rome, Rome, Italy;Institute of Legal Medicine, Catholic University of the Sacred Heart, 00168 Rome, Italy;Department of Medical and Surgical Sciences and Biotechnologies, Rome, Italy

关键词: Cranial reconstruction;    Orbital trauma;    Penetrating head injury;    Rod;   

Others  :  866907
DOI  :  10.1186/1471-2482-13-31

 received in 2012-08-05, accepted in 2013-06-26,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Miscusi et al.; licensee BioMed Central Ltd.

【 图 表 】

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