Department of Surgery, Division of Neurosurgery, University of California - San Diego, San Diego, California, USA.
Department of Ophthalmology, University of California - San Diego, San Diego, California, USA.
World Neurosurg. 2018 Feb;110:65-70. doi: 10.1016/j.wneu.2017.09.152. Epub 2017 Oct 13.
Penetrating injuries involving foreign objects that transgress the entirety of the human skull present challenges in the management of vascular injuries, infectious risk, cerebrospinal fluid leak, and cosmetic repair. Ultimately, effective management of these injuries requires a multidisciplinary team and judicious surgical planning.
Here we present the treatment of a patient who experienced a penetrating injury from a railroad spike, with entry and exit points involving the left and right anterior aspects of the temporal fossa, respectively.
The rationale for management decisions is reviewed in the context of the published literature.
穿透性损伤涉及贯穿整个人类颅骨的异物，这给血管损伤、感染风险、脑脊液漏和美容修复的管理带来了挑战。最终，这些损伤的有效管理需要多学科团队和明智的手术规划。
在这里，我们介绍了一位患者因铁轨钉而遭受穿透性损伤的治疗情况，入口和出口分别涉及颞骨前侧的左右两侧。
根据已发表的文献，回顾了管理决策的基本原理。
