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儿童颌面部罕见的渔叉伤。

Unusual fishing harpoon injury of the maxillofacial region in a child.

作者信息

Ribeiro André Luis Ribeiro, de Vasconcellos Hiam Ghassan, Pinheiro João de Jesus Viana

机构信息

Department of Oral and Maxillofacial Surgery, School of Dentistry, University Center of Pará (CESUPA), Avenida Marquês de Herval, 2359, Apt. 1104, Belém, PA, Brazil 66087-320.

出版信息

Oral Maxillofac Surg. 2009 Dec;13(4):243-6. doi: 10.1007/s10006-009-0177-1.

Abstract

INTRODUCTION

Injuries by fishing harpoon are extremely rare. Despite the similarities to other penetrating injuries normally caused by gunshot and stab wounds, harpoon injuries feature hook-type tips pointing to the opposite direction to that of removal, thus rendering the surgery more complex.

CASE REPORT

The authors report on a case of a child who sustained an injury caused by two-piece fragments of a fishing harpoon to the right temporal and orbital regions.

DISCUSSION

The diagnosis process is discussed and a suggestion is presented as to treatment principles. The authors support the use of small incisions that are just small enough to clear the tissues surrounding the object and allow for the removal of said object from the outside to the inside and counter indicate any attempt to pull the object. Such approach was used in this case with a satisfactory result and minimum sequels.

摘要

引言

渔叉致伤极为罕见。尽管与通常由枪伤和刺伤造成的其他穿透伤有相似之处,但渔叉伤的特点是钩型尖端指向与取出方向相反,从而使手术更加复杂。

病例报告

作者报告了一例儿童病例,其右颞部和眶部被渔叉的两段碎片致伤。

讨论

讨论了诊断过程并提出了治疗原则建议。作者支持使用小切口,切口要小到足以清理物体周围的组织,并允许从外向内取出物体,反对任何牵拉物体的尝试。本病例采用了这种方法,结果令人满意,后遗症最少。

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