Management of a Steel Bar Injury Penetrating the Head and Neck: A Case Report and Review of the Literature.
作者信息
Li Zhenxing, Chen Jigang, Qu Xiaolin, Duan Liwei, Huang Chenguang, Zhang Danfeng, Hou Lijun
机构信息
Department of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.
Department of Emergency, Changzheng Hospital, Second Military Medical University, Shanghai, China.
出版信息
World Neurosurg. 2019 Mar;123:168-173. doi: 10.1016/j.wneu.2018.11.029. Epub 2018 Nov 14.
BACKGROUND
Nonmissile penetrating injuries to the head and neck caused by a steel bar are rare, and a standard management strategy is lacking.
CASE DESCRIPTION
A 42-year-old woman sustained a steel bar injury with penetration of the head and neck. Computed tomography and three-dimensional reconstruction were performed for preoperative evaluation. Digital subtraction angiography was performed to confirm potential vascular injury. The steel bar was successfully removed through an open surgical procedure by a multidisciplinary team.
CONCLUSIONS
Relevant literature regarding nonmissile penetrating injuries involving a steel bar was reviewed to propose appropriate management strategies. Comprehensive imaging evaluation and prompt surgery by a multidisciplinary team contributed to the successful removal of the steel bar.
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