title: [Facial perforation trauma: an unusual injury in a skiing accident].
abstract: Facial perforation injuries are very rare. We describe a case of a 48-year-old man who sustained a perforation trauma from an 11 cm long wooden tree branch in the middle of the face in a skiing accident. He suffered from additional injuries, such as fractures of the ribs and hand, but was neurologically without pathologic findings and was cardiopulmonary stable.The branch penetrated the head from the sinus maxillaris through the maxilla just missing the internal and external carotid arteries and ending just short of the cervical vertebra. The patient was transported to a center for oral and maxillofacial surgery and underwent several operations.He could return to his normal social and professional life 8 months after the accident.
authors.affiliation: Klinik für Unfallchirurgie, Universitätsspital Zürich, Rämistr., Zürich, Schweiz. Sebastian.Guenkel@usz.ch
authors.forename: S
authors.initials: S
authors.lastname: Günkel
authors.forename: C
authors.initials: C
authors.lastname: Siewert
authors.forename: A
authors.initials: A
authors.lastname: Kruse
authors.forename: H P
authors.initials: HP
authors.lastname: Simmen
mesh_terms: D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005151:Facial Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000293:injuries*; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D012865:Skiing / Q000293:injuries*; D012887:Skull Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014934:Wood; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*