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

BMC Surgery

Case Report

Massimo Miscusi¹  Paolo Arangio¹  Piero Cascone²  Fabio De-Giorgio³  Antonino Raco⁴  Luca De Martino⁴ 

[1] Department of Medical and Surgical Sciences and Biotechnologies, 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;NESMOS Department, Rome, Italy;

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

DOI  :  10.1186/1471-2482-13-31

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

来源: Springer

【 摘 要 】

BackgroundHigh-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 presentationA 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.ConclusionThe 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】

Unknown   
© Miscusi et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.