Choi Jun Ho, Oh Sang Seong, Hwang Jae Ha, Kim Kwang Seog, Lee Sam Yong
Department of Plastic and Reconstructive Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
Arch Craniofac Surg. 2023 Feb;24(1):37-40. doi: 10.7181/acfs.2022.01018. Epub 2023 Feb 20.
Penetrating wounds to the face are cosmetically devastating and can be life-threatening. If the foreign body causing the penetrating wound is a piece of wood, small remnants might be left behind after the initial treatment. A 33-year-old male patient presented to the emergency center after a piece of lumber pierced his face as a passenger in a traffic accident. The patient's vital signs were stable, and emergency surgery was performed to remove the foreign body and repair the soft tissue. No noteworthy complications were seen after open reduction and internal fixation of the facial bone fractures. Seven months after the accident, the patient underwent scar revision along with full-thickness skin grafting for post-traumatic scars. After the surgery, pus-like discharge which was not previously present was observed, and the graft did not take well. A residual foreign body, which was the cause of graft failure, was found on computed tomography and the remaining foreign body was removed through revision surgery. The patient is receiving outpatient follow-up without any complications 6 months after surgery. This case demonstrates the importance of performing a careful evaluation to avoid missing a residual foreign body, especially if it is of wooden nature.
面部穿透伤会造成毁容，甚至可能危及生命。如果导致穿透伤的异物是一块木头，在初始治疗后可能会留下小碎片。一名33岁男性患者在交通事故中作为乘客被一块木材刺穿面部后被送往急诊中心。患者生命体征稳定，接受了急诊手术以取出异物并修复软组织。面部骨折切开复位内固定术后未见明显并发症。事故发生七个月后，患者接受了瘢痕修复及全厚皮片移植以治疗创伤后瘢痕。术后观察到出现了之前没有的脓性分泌物，且移植皮片成活不佳。计算机断层扫描发现了导致移植失败的残留异物，并通过翻修手术取出了剩余异物。术后6个月，患者正在接受门诊随访，未出现任何并发症。该病例表明了进行仔细评估以避免遗漏残留异物的重要性，尤其是当异物为木质时。
