title: Jael syndrome: removal of a knife blade impacted in the maxillofacial region under local anaesthesia.
abstract: The presence of retained foreign bodies in the maxillofacial region as a consequence of penetrating injuries from knives is poorly documented in the scientific literature. This manuscript reports the case of a 30-year-old Caucasian with a knife blade lodged in the maxillofacial skeleton. Following clinical and radiographic exams, it was determined that the object had penetrated through the left nostril and nasal septum, in the direction of the right maxillary sinus, and remained impacted without causing injury to important anatomical structures. After systemic assessment and determination of the exact location of the knife blade, the object was removed in an outpatient setting under local anaesthesia. This manuscript aims to report a rare case of a transfacial penetrating injury involving a knife blade that was removed in an outpatient setting while also discussing the proper conduct and treatment options for similar cases in the context of a brief literature review.
authors.affiliation: Vale do Rio Verde University, Três Corações, Minas Gerais, Brazil.
authors.forename: Paulo Roberto
authors.initials: PR
authors.lastname: Dominguete
authors.forename: Bruno Figueiredo
authors.initials: BF
authors.lastname: Matos
authors.forename: Tufi Neder
authors.initials: TN
authors.lastname: Meyer
authors.forename: Lucinei Roberto
authors.initials: LR
authors.lastname: Oliveira
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D005151:Facial Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D013577:Syndrome; D014951:Wounds, Stab / Q000000981:diagnostic imaging / Q000601:surgery*