Management experience of severe wooden foreign bodies injuries in head and neck region

口腔疾病防治

卷:25

WANG Jianguang¹  YANG Zhaohui¹  ZHANG Bin¹  CHEN Weiliang¹ 

[1] Department of Oral and Maxillofacial Surgery, Sun Yat⁃sen Memorial Hospital, Sun Yat⁃sen University;

关键词: Wooden foreign body;    Head and neck;    Trauma;    Surgical treatment;   

DOI  :  10.12016/j.issn.2096⁃1456.2017.12.003

来源: DOAJ

【 摘 要 】

Objective To describe our experience with the surgical treatment of severe wooden foreign body (WFB) injuries in the head and neck region. Methods A case series review of WFB injuries in the head and neck region thatwere managed at Sun Yat ⁃sen Memorial Hospital between 2008 and 2014 was performed retrospectively. The clinicalfindings and surgical details of ten cases were reviewed. Results The WFBs were integrally removed from all patientswith the average age of 40.9 years. 8 cases dued to falling and 2 cases because of industrial injuries. All cases under⁃went general anesthesia (6 cases tracheal incision, 3 cases through nose intubation, 1 cases through oral intubation).The lengths of the WFBs ranged from 4.0 cm to 17.5 cm (average 9.96 cm). The procedures lasted 30 to 180 min. No se⁃vere bleeding was observed. Total blood loss ranged from approximately 3 to 200 mL (average 69 mL). The patientswere followed for 11 to 38 months, and no postoperative complications, only 1 cases appeared open type deviation and 2cases of scar discomfort after neck operation. Conclusion Surgical treatment of severe WFB injuries in the head andneck region is acceptably safe and effective. Endoscopic surgery can be used in patients with WFBs that are embeddedin the maxilla.

【 授权许可】

Unknown