Complex craniofacial trauma resulting from fireworks blast.
The authors report the case of a patient who sustained a complex craniofacial trauma secondary to a recreational fireworks blast. Initial assessment and management were performed with a multidisciplinary approach to achieve control of cerebral hemorrhage, debridement of wounds and brain, isolation of the brain from the external environment, reconstruction of the cranial base floor, and orbital and facial reconstruction. Modification of multiple conventional approaches, along with a multispecialty surgical team, were used to deal effectively with this unusual patient who was treated by single-stage immediate management. Reconstruction of both the intracranial and extracranial compartments was considered successful with a satisfactory cosmetic result.
Romano
Fabio
F
Department of Maxillo-Facial Surgery, University of Messina, Messina, Italy.
Catalfamo
Luciano
L
Siniscalchi
Enrico Nastro
EN
Conti
Alfredo
A
Angileri
Filippo Flavio
FF
De Ponte
Francesco Saverio
FS
Tomasello
Francesco
F
D001753:Blast Injuries / Q000209:etiology*; D020201:Brain Hemorrhage, Traumatic / Q000209:etiology; D002056:Burns / Q000209:etiology*; D053834:Explosive Agents / Q000009:adverse effects; D005131:Eye Injuries / Q000209:etiology; D018460:Fractures, Comminuted / Q000209:etiology; D005625:Frontal Lobe / Q000293:injuries; D020197:Head Injuries, Penetrating / Q000209:etiology*; D046648:Hematoma, Subdural, Intracranial / Q000209:etiology; D006801:Humans; D008297:Male; D008440:Maxillary Fractures / Q000209:etiology; D008446:Maxillofacial Injuries / Q000209:etiology*; D008875:Middle Aged; D009917:Orbital Fractures / Q000209:etiology; D011998:Recreation; D019291:Skull Base / Q000293:injuries; D012887:Skull Fractures / Q000209:etiology; D013100:Sphenoid Bone / Q000293:injuries; D015051:Zygomatic Fractures / Q000209:etiology
D053834:Explosive Agents