Fonseca Vitor José, Martins Chaves Roberta Rayra, Baires Campos Felipe Eduardo, Lehman Luiz Felipe, Moraes Gustavo Meyer, Castro Wagner Henriques
Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Department of Head and Neck Surgery, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Imaging Sci Dent. 2018 Dec;48(4):295-300. doi: 10.5624/isd.2018.48.4.295. Epub 2018 Dec 20.
This report presents a clinical case of trauma due to assault with a knife, and describes the importance of using the correct imaging modality in cases of facial penetrating trauma involving the superficial and deep anatomical planes. Penetrating wounds in the maxillofacial region are rare and poorly reported, but can result in serious complications that are difficult to resolve and may compromise the patient's quality of life, especially when large blood vessels or other vital structures are involved. Thus, it is essential to determine the extent of the affected blood vessels and the proximity of the retained object to the anatomical structures. In this case, digital subtraction angiography was the imaging modality chosen. The use of appropriate imaging examinations allows a proper map of the surgical field, reducing the chances of vascular damage during the surgical procedure.
本报告介绍了一例因刀伤导致的创伤临床病例，并描述了在涉及面部浅部和深部解剖层面的穿透性创伤病例中使用正确成像方式的重要性。颌面部穿透伤较为罕见且报道较少，但可能导致难以解决的严重并发症，并可能影响患者的生活质量，尤其是当大血管或其他重要结构受累时。因此，确定受影响血管的范围以及留存物体与解剖结构的接近程度至关重要。在本病例中，数字减影血管造影是所选的成像方式。使用适当的成像检查可绘制出手术区域的准确图谱，减少手术过程中血管损伤的几率。
