Agrawal Amit, Reddy V Umamaheswara, Kumar S Satish, Hegde Kishor V, Rao G Malleswara
Department of Neurosurgery, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India.
Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India.
Craniomaxillofac Trauma Reconstr. 2016 Jun;9(2):145-8. doi: 10.1055/s-0035-1551545. Epub 2015 May 21.
Transorbital orbitocranial penetrating injuries (TOPIs) are relatively rare, can be caused by high-speed projectile foreign bodies to low-energy trauma (which is rarer), and account for 24% of penetrating head injuries in adults and approximately 45% in children. We report an uncommon nonfatal case of TOPI where a 16-year-old male child sustained injury due to accidental penetration of metal bar into the forehead. A bicoronal flap was raised to remove the metal bar. The patient recovered well, had normal vision, and doing well at follow-up.
经眶眶颅穿透伤(TOPIs)相对罕见,可由高速投射异物至低能量创伤(这种情况更罕见)引起,占成人穿透性颅脑损伤的24%,儿童约占45%。我们报告一例罕见的非致命性TOPI病例,一名16岁男童因金属棒意外刺入前额而受伤。掀起双侧冠状瓣以取出金属棒。患者恢复良好,视力正常,随访情况良好。