TY - JOUR PY - 2019// TI - Our experience managing difficult accidental chainsaw trauma JO - Journal of cranialfacial surgery A1 - Cascino, Flavia A1 - Pini, Niccolò A1 - Giovannoni, Maria Elisa A1 - Aboh, Ikenna Valentine A1 - Gabriele, Guido A1 - Niccolai, Gianluca A1 - Zerini, Federico A1 - Amadi, Jude Ugochukwu A1 - Gennaro, Paolo SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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

LA - en SN - 1049-2275 UR - http://dx.doi.org/10.1097/SCS.0000000000005846 ID - ref1 ER -