Published in:
Open Access 01-12-2013 | Case report
An unusual case of orbito-frontal rod fence stab injury with a good outcome
Published in: BMC Surgery | Issue 1/2013
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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.