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Journal Article

Citation

Cascino F, Pini N, Giovannoni ME, Aboh IV, Gabriele G, Niccolai G, Zerini F, Amadi JU, Gennaro P. J. Craniofac. Surg. 2019; ePub(ePub): ePub.

Affiliation

Department of Oral and Maxillofacial Surgery, "Le Scotte" Hospital, Viale M. Bracci, Siena, Italy.

Copyright

(Copyright © 2019, Lippincott Williams and Wilkins)

DOI

10.1097/SCS.0000000000005846

PMID

31469728

Abstract

BACKGROUND: 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.

METHODS: 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.

RESULTS: 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.

CONCLUSION: 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.


Language: en

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