TY - JOUR PY - 2013// TI - An unusual case of orbito-frontal rod fence stab injury with a good outcome JO - BMC surgery A1 - Miscusi, Massimo A1 - Arangio, Paolo A1 - De Martino, Luca A1 - De-Giorgio, Fabio A1 - Cascone, Piero A1 - Raco, Antonino SP - 31 EP - 31 VL - 13 IS - 1 N2 - BACKGROUND: High-energy non-missile penetrating injuries (stab injuries) account for a small percentage of penetrating head injuries and they present a series of special features. CASE PRESENTATION: A 35-year-old man suffered orbito-frontal? and trans-cranial injuries after falling five meters from a terrace onto a rod iron fence. The removal of the metal rod was performed outside the operating room. The orbital roof was exposed and repaired through a bifrontal craniotomy and the frontal sinuses were cranialised. The orbital floor and zygoma were plated with micro-screws. CONCLUSION: The patient recovered without significant complications, apart from a slight paresis of the right superior rectus; the ocular globe remained intact.The positive outcome obtained in this very challenging case is attributable to the competency of the Neurotrauma Unit and to the use of a synergistic approach which involved the contribution of neurosurgeons, maxillo-facial surgeons, radiologists and anaesthesiologists.

Language: en

LA - en SN - 1471-2482 UR - http://dx.doi.org/10.1186/1471-2482-13-31 ID - ref1 ER -