Thanneermalai Balasundaram, Chattopadhyay Prabodh Kumar, Kamalpathey K, Semi Ravinder Singh, Desai Ajay Premanand, Menon Rahul P
Department of Oral and Maxillofacial Surgery, Army Dental Centre (R&R), New Delhi, India.
Ann Maxillofac Surg. 2018 Jan-Jun;8(1):166-170. doi: 10.4103/ams.ams_173_17.
Penetrating facial injuries are potentially dangerous and may require emergency management because of the presence of vital structures in the face, and it may be life-threatening especially when the injury involves airway, major blood vessels, spinal cord, and cervical spines. Penetrating injuries of the facial region can occur due to missile injuries, blast injuries, motor vehicle accidents, and accidental fall on sharp objects. However, injury to face caused by the shattering of a protective helmet itself is extremely rare. Primary management is targeted to deal with life-threatening conditions and stabilize the patient followed by subsequent care in a well-equipped setting. We present a case of a 30-year-old male, who suffered extensive soft and hard tissue injury of the maxillofacial region due to shattering of a protective helmet causing a ballistic effect.
穿透性面部损伤具有潜在危险性,由于面部存在重要结构,可能需要进行紧急处理,尤其是当损伤涉及气道、主要血管、脊髓和颈椎时,可能会危及生命。面部区域的穿透性损伤可由导弹伤、爆炸伤、机动车事故以及意外摔倒在尖锐物体上引起。然而,防护头盔本身破碎导致的面部损伤极为罕见。初期处理旨在应对危及生命的情况并稳定患者病情,随后在设备完善的环境中进行后续护理。我们报告一例30岁男性病例,该患者因防护头盔破碎产生弹道效应,导致颌面区域广泛的软组织和硬组织损伤。