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交通事故后玻璃碎片嵌顿于颊部、咬肌下及腮腺间隙的独特表现。

Unique presentation of impaction of glass fragments in the buccal, submasseteric and parotid spaces subsequent to road traffic accident.

作者信息

Raghani Manish, Chakraborty Rittik

机构信息

Dentistry - Oral & Maxillofacial Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

Dentistry - Oral & Maxillofacial Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

出版信息

BMJ Case Rep. 2025 May 2;18(5):e258942. doi: 10.1136/bcr-2023-258942.

Abstract

Penetrating glass injuries in the facial region represent a very rare and complex variety of trauma. Cases of glass foreign bodies in the orbital tissue or the eyeball have been reported. Scattered glass foreign bodies in both the superficial and deep layers of the neck have been reported. However, no cases, to our knowledge, have been reported for foreign body impaction over the cheek region.Occasionally, the foreign glass particles can be retained in the anatomic spaces. These are mostly the result of road traffic accidents or by interpersonal violence. These penetrating injuries can result in damage to vital structures. Examinations for injuries to facial nerve branches, parotid gland and parotid duct are of paramount importance. Here, we report an unusual case of penetrating injury over the left cheek caused by broken wind shield glass in a road traffic accident.

摘要

颜面部穿透性玻璃损伤是一种非常罕见且复杂的创伤类型。有文献报道过眼眶组织或眼球内存在玻璃异物的病例。也有报道称颈部浅层和深层均有散在的玻璃异物。然而,据我们所知,尚无颊部区域异物嵌顿的病例报道。偶尔,玻璃异物颗粒可留存于解剖间隙中。这些大多是道路交通事故或人际暴力所致。这些穿透性损伤可导致重要结构受损。对面神经分支、腮腺及腮腺导管损伤的检查至关重要。在此,我们报告一例道路交通事故中因破碎的挡风玻璃导致左颊部穿透伤的罕见病例。

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