Ildan F, Bağdatoğlu H, Boyar B, Doğanay M, Cetinalp E, Karadayi A
Department of Neurosurgery, Cukurova University School of Medicine, Adana, Turkey.
J Trauma. 1994 Jan;36(1):116-8. doi: 10.1097/00005373-199401000-00020.
Penetrating and perforating periorbital puncture wounds by lead pencils are not rare, but ones that reach the brain stem are extremely unusual. We recently treated a patient with of this type of injury. A newly sharpened lead pencil was accidentally introduced through the subconjunctiva at the inner canthus of the right eye. It passed along the medial border of the globe transorbitally and went through the superior orbital fissure into the temporal fossa, then continued through the lateral side of the sella and posterior clinoid, reaching the brain stem. The entire pencil was removed inch by inch without incident under CT control. Meanwhile, the operative team remained ready in case of emergency bleeding. The patient's postoperative course was uneventful, but the initial neurologic deficit of the patient remained fixed.
铅笔造成的穿透性和穿孔性眶周刺伤并不罕见，但刺入脑干的情况极为罕见。我们最近治疗了一名此类损伤的患者。一支新削尖的铅笔意外地从右眼内眦的结膜下刺入。它沿眼球内侧缘经眶穿过，通过眶上裂进入颞窝，然后继续穿过蝶鞍外侧和后床突，到达脑干。在CT控制下，整支铅笔被一寸一寸地顺利取出。与此同时，手术团队随时准备应对紧急出血情况。患者术后过程平稳，但最初的神经功能缺损仍未恢复。
