Cascino Flavia, Pini Niccolò, Giovannoni Maria Elisa, Aboh Ikenna Valentine, Gabriele Guido, Niccolai Gianluca, Zerini Federico, Amadi Jude Ugochukwu, Gennaro Paolo
Department of Oral and Maxillofacial Surgery, "Le Scotte" Hospital, Viale M. Bracci, Siena, Italy.
J Craniofac Surg. 2019 Oct;30(7):2207-2210. doi: 10.1097/SCS.0000000000005846.
Chainsaw and circular-saw injuries represent a rare condition within the maxillofacial region. The purpose of this clinical report is to describe the injuries and the clinical and surgical management of these rare traumas.
In this clinical report, 11 patients presenting themselves to the emergency room in the hospital "Policlinico Le Scotte," Siena, from March 2016 to September 2017 with severe chainsaw and circular-saw injuries, were included. All of the patients underwent general anesthesia and surgical treatment. This study describes 3 of the 11 patients with saw injuries.
No complications occurred during surgeries and a good primary closure of the wound margins were achieved in all patients. However, after surgery, the authors experienced some complications in 2 patients: the 1st one displayed chewing problems due to extensive local edema; the 2nd one developed a total loss of vision in his left eye, even though there was no damage inflected to the eye ball during the trauma or surgery.
All the patients were followed during the 1st year after surgery. The authors evaluated the patients at 3 months, 6 months, and after 1 year, and none of them developed complications or alterations related to the trauma. However, 1 patient is still experiencing loss of vision and he is under constant specialized follow-up.
链锯伤和圆锯伤在颌面区域属于罕见情况。本临床报告的目的是描述这些罕见创伤的损伤情况以及临床和手术处理方法。
在本临床报告中，纳入了2016年3月至2017年9月期间在锡耶纳的“Policlinico Le Scotte”医院急诊室就诊的11例严重链锯伤和圆锯伤患者。所有患者均接受全身麻醉和手术治疗。本研究描述了11例锯伤患者中的3例。
手术过程中未发生并发症，所有患者伤口边缘均实现了良好的一期缝合。然而，术后作者在2例患者中遇到了一些并发症：第1例因广泛局部水肿出现咀嚼问题；第2例尽管在创伤或手术期间眼球未受损伤，但左眼完全失明。
所有患者在术后第1年接受随访。作者在3个月、6个月和1年后对患者进行了评估，他们均未出现与创伤相关的并发症或改变。然而，1例患者仍存在视力丧失，正在接受持续的专科随访。
