J Korean Soc Traumatol Search

CLOSE


Journal of the Korean Society of Traumatology 2006;19(1):89-92.
A Case of Penetrating Facial Wound by a Grinder
Jin ah Kang, Kang Ho Kim, Jin Hui Paik, Dae Young Hong, Ji Hye Kim, Kyoung Mi Lee, Jun Sig Kim, Seung Baik Han
Department of Emergency Medicine, College of Medicine, Inha University, Incheon, Korea. LIFSAV@inha.ac.kr
분쇄기에 의한 얼굴 관통창 1 례
강진아·김강호·백진휘·홍대영·김지혜·이경미·김준식·한승백
인하대학교 의과대학 응급의학교실
Abstract
Penetrating facial wounds are uncommon and are usually life threatening because of the possibility of brain damage. There are three possible pathways for penetrating the cranium through the orbit: via the orbital roof, via the superior orbital fissure, or between the optic canal and lateral wall of the orbit. Brain injuries resulting from the penetrating wounds show extensive parenchymal damage, hemorrhage, and brain edema. Transorbital penetrating wounds can lead to diverse lesions of the optical apparatus, including the eye globe, the optical nerve, and the chiasm. Moreover, intracerebral structures may be hurt, and bleeding and infection may occur. Early diagnosis and prompt debridement are the fundamental factors affecting the outcome of a penetrating facial wound. An 87-year-old man was admitted to the emergency department with a grinder impacted into the medial aspect of the right eye. On presentation, the man was fully conscious with a Glasgow Coma Scale score of 15 and complained of a visual disturbance of the right eye. Computed tomography demonstrated a right orbital medial and inferior wall fracture, a frontal bone fracture, and a contusional hemorrhage in frontal lobe of the brain. A craniotomy with hematoma removal and repair of the orbital floor was done. He showed no neurological deficits except right visual loss. This appears to be the first report of a man with a penetrating facial wound caused by a grinder, who presented with a potentially disastrous craniocerebral injury that did not lead to any serious neurological seguelae.
Key Words: Wounds; Penetrating; Face; Orbit


ABOUT
BROWSE ARTICLES

Browse all articles >

EDITORIAL POLICY
FOR CONTRIBUTORS
FOR READERS
Editorial Office
2619 Twincity-namsan, 366, Hangang-daero, Yongsan-gu, Seoul. 04323, Korea
Tel: +82-10-4391-0788    E-mail: office@jtraumainj.org                

Copyright © 2022 by The Korean Society of Traumatology.

Developed in M2PI

Close layer
prev next