An unusual case of orbito-frontal rod fence stab injury with a good outcome
1 Department of Medical and Surgical Sciences and Biotechnologies, Rome, Italy
2 NESMOS Department, Rome, Italy
3 Institute of Legal Medicine, Catholic University of the Sacred Heart, 00168 Rome, Italy
4 Department of Odontostomatologic and Maxillo-facial Sciences, Sapienza University of Rome, Rome, Italy
BMC Surgery 2013, 13:31 doi:10.1186/1471-2482-13-31Published: 13 August 2013
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.
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.
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.