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Abstract
ABSTRACT
Retained foreign bodies of head and neck after penetrating injuries are uncommon and rarely reported. They are more frequent in military than civilian practice. They are potentially life threatening due to vascular and nervous damages they can cause. The authors report two cases of penetrating injuries with retained metallic foreign bodies which involved the neck and the maxillofacial areas. These harmful objects exceptionally missed the vital organs. Proper clinical examination, radiological and medical imaging and surgical management are discussed in order to prevent complications.
RÉSUMÉ
Les corps étrangers enclavés après une plaie pénétrante de la tête et du cou sont rares. Ils sont plus fréquemment rapportés en pratique militaire que civile. Ils peuvent engager le pronostic vital en raison de la richesse en éléments vasculo-nerveux présents dans ces régions. Les auteurs rapportent deux cas de plaies pénétrantes du cou et de la région maxillo-faciale par des objets métalliques, qui sont resté enclavés. Aucun organe vital n’avait été lésé dans ces cas. Un examen clinique approprié, une imagerie radiologique et médicale et une prise en charge chirurgicale sont discutés afin de prévenir les complications.
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References
- Santos T, Avelar R, Melo A, de Moraes HH, Dourado E. Current approach in the management of patients with foreign bodies in the maxillofacial region. J Oral Maxillofac Surg. 2011;69(9):2376-82.
- Agrawal R, Timilsina DS, Reddy NS, Ganguly SN, Tayal A. Penetrating foreign body neek: A case report. Kathmandu University Medical Journal. 2007;5(3):414-16.
- Ho VH, Wilson MW, Fleming JC, Haik, BG. Retained intraorbital metallic foreign bodies. Ophthal Plast Reconstr Surg. 2004;20(3):232-36.
- Clark WC, Muhlbauer MS, Watridge CB, Ray MW. Analysis of 76 civilian craniocerebral gunshot wounds.J Neurosurg. 1986;65:9-14.
- Mc Connell DB, Trunky DD. Management of penetrating trauma to the neck. Adv Surg. 1994;27:97-127.
- Aich ML, Alam ABM K, Abdullah M, Sardar AR. Penetrating injury to the neck. Three case reports with review of literatures. Bangladesh Med J. 2013;42(1):31-3.
- Gracias VH, Reilly PM, Philpott J, Klein WP, Lee SY, Singer M, et al. Computed tomography in the evaluation of penetrating trauma. Arch Surg. 2001;136:1231-5.
- Rodriguez Gomez E. Cervical foreign body. An unusual case. Acta Otorinolaringol Esp. 2004;55(6):298-301.
- Hudson DA. Impacted knife injuries of the face. Br J Plast Surg. 1992;45(3):222-4.
- Bullock JD, Warwar RE, Bartley GB, Waller RR, Henderson JW. Unusual orbital foreign bodies. Ophthal Plast Reconstr Surg. 1999;15(1):44-51.
- Cohen MA, Boyes-Varley G. Penetrating injuries to the maxillofacial region. J Oral Maxillofac Surg. 1986;44(3):197-202.
References
Santos T, Avelar R, Melo A, de Moraes HH, Dourado E. Current approach in the management of patients with foreign bodies in the maxillofacial region. J Oral Maxillofac Surg. 2011;69(9):2376-82.
Agrawal R, Timilsina DS, Reddy NS, Ganguly SN, Tayal A. Penetrating foreign body neek: A case report. Kathmandu University Medical Journal. 2007;5(3):414-16.
Ho VH, Wilson MW, Fleming JC, Haik, BG. Retained intraorbital metallic foreign bodies. Ophthal Plast Reconstr Surg. 2004;20(3):232-36.
Clark WC, Muhlbauer MS, Watridge CB, Ray MW. Analysis of 76 civilian craniocerebral gunshot wounds.J Neurosurg. 1986;65:9-14.
Mc Connell DB, Trunky DD. Management of penetrating trauma to the neck. Adv Surg. 1994;27:97-127.
Aich ML, Alam ABM K, Abdullah M, Sardar AR. Penetrating injury to the neck. Three case reports with review of literatures. Bangladesh Med J. 2013;42(1):31-3.
Gracias VH, Reilly PM, Philpott J, Klein WP, Lee SY, Singer M, et al. Computed tomography in the evaluation of penetrating trauma. Arch Surg. 2001;136:1231-5.
Rodriguez Gomez E. Cervical foreign body. An unusual case. Acta Otorinolaringol Esp. 2004;55(6):298-301.
Hudson DA. Impacted knife injuries of the face. Br J Plast Surg. 1992;45(3):222-4.
Bullock JD, Warwar RE, Bartley GB, Waller RR, Henderson JW. Unusual orbital foreign bodies. Ophthal Plast Reconstr Surg. 1999;15(1):44-51.
Cohen MA, Boyes-Varley G. Penetrating injuries to the maxillofacial region. J Oral Maxillofac Surg. 1986;44(3):197-202.