Günkel S, Siewert C, Kruse A, Simmen H P
Klinik für Unfallchirurgie, Universitätsspital Zürich, Rämistr., Zürich, Schweiz.
Unfallchirurg. 2009 Dec;112(12):1075-8. doi: 10.1007/s00113-009-1624-z.
Facial perforation injuries are very rare. We describe a case of a 48-year-old man who sustained a perforation trauma from an 11 cm long wooden tree branch in the middle of the face in a skiing accident. He suffered from additional injuries, such as fractures of the ribs and hand, but was neurologically without pathologic findings and was cardiopulmonary stable.The branch penetrated the head from the sinus maxillaris through the maxilla just missing the internal and external carotid arteries and ending just short of the cervical vertebra. The patient was transported to a center for oral and maxillofacial surgery and underwent several operations.He could return to his normal social and professional life 8 months after the accident.
面部穿孔伤非常罕见。我们描述了一例48岁男性病例，该患者在一次滑雪事故中面部中部被一根11厘米长的树枝贯穿致穿孔伤。他还伴有其他损伤，如肋骨和手部骨折，但神经系统无病理表现，心肺功能稳定。树枝从上颌窦穿过上颌骨进入头部，刚好避开颈内、外动脉，止于距颈椎仅差一点的位置。患者被转运至口腔颌面外科中心并接受了多次手术。事故发生8个月后，他能够恢复正常的社交和职业生活。
