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. © 2013 Miscusi et al.; licensee BioMed Central Ltd.

An unusual case of orbito-frontal rod fence stab injury with a good outcome / Miscusi, Massimo; Arangio, Paolo; DE MARTINO, Luca; Fabio De, Giorgio; Cascone, Piero; Raco, Antonino. - In: BMC SURGERY. - ISSN 1471-2482. - ELETTRONICO. - 13:1(2013). [10.1186/1471-2482-13-31]

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

MISCUSI, MASSIMO;ARANGIO, PAOLO;DE MARTINO, Luca;CASCONE, PIERO;RACO, Antonino
2013

Abstract

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. © 2013 Miscusi et al.; licensee BioMed Central Ltd.
2013
orbital trauma; rod; penetrating head injury; cranial reconstruction
01 Pubblicazione su rivista::01a Articolo in rivista
An unusual case of orbito-frontal rod fence stab injury with a good outcome / Miscusi, Massimo; Arangio, Paolo; DE MARTINO, Luca; Fabio De, Giorgio; Cascone, Piero; Raco, Antonino. - In: BMC SURGERY. - ISSN 1471-2482. - ELETTRONICO. - 13:1(2013). [10.1186/1471-2482-13-31]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/524509
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