Miller C F, Brodkey J S, Colombi B J
Surg Neurol. 1977 Feb;7(2):95-103.
Peri-orbital puncture wounds by sharp wooden objects are not rare, but can be dangerous when there is intracranial penetration by and retention of the wooden foreign body. Days to years after an apparently trivial initial wounding, serious intracranial complications can occur. The authors have reviewed 42 case reports from the literature. Morbidity-defined as permanent neurologic sequelae-occurred in 74% of the cases. Intracranial suppuration was the major complication, with brain abscess having occurred in nearly one-half of the cases. Mortality occurred in 25% of 28 cases occurring in the post-antibiotic era. The qualities of wood which make it especially hazardous as a wounding agent and foreign body are discussed. The role of orbital anatomy in affording easy access to the cranial contents is described. Surgical exploration in all those cases in which there is a reasonable suspicion of intracranial injury is recommended.
尖锐木质物体造成的眶周穿刺伤并不罕见，但当木质异物穿透并滞留颅内时则可能很危险。在看似轻微的初始受伤数天至数年后，可能会发生严重的颅内并发症。作者回顾了文献中的42例病例报告。发病率（定义为永久性神经后遗症）在74%的病例中出现。颅内化脓是主要并发症，近一半病例发生脑脓肿。在抗生素时代后的28例病例中，25%发生了死亡。文中讨论了使木材作为致伤物和异物特别危险的特性。描述了眼眶解剖结构在使颅内内容物易于进入方面的作用。建议对所有合理怀疑有颅内损伤的病例进行手术探查。
