title: A shocking craniofacial penetrating injury by a steel bar.
abstract: Owing to the diversity in cause and damage, there is no standard surgical treatment method for a complicated penetrating craniofacial injury. The treatment of a complicated penetrating head injury caused by a steel bar is presented here. A 66-year-old woman fell onto a steel bar at a construction site and it penetrated the mandible, entered the sinus and orbital cavities, and reached the base of the frontal bone. A multi-disciplinary team including a neurosurgeon, otolaryngologist, and plastic surgeon was involved in removing the steel bar. The patient survived without sequelae except for blindness in the right eye. Despite the lack of standardized surgical treatment for a complicated penetrating craniofacial injury, aggressive treatment by a multidisciplinary team can result in good outcomes.
authors.affiliation: Department of Neurosurgery, E-da Hospital, I-shou University, Kaohsiung, Taiwan.
authors.forename: Po Yuan
authors.initials: PY
authors.lastname: Chen
authors.affiliation: Department of Plastic Surgery, E-da Hospital, I-shou University, Kaohsiung, Taiwan.
authors.forename: Sheng Fa
authors.initials: SF
authors.lastname: Yao
authors.affiliation: Department of Otolaryngology, E-da Hospital, I-shou University, Kaohsiung, Taiwan.
authors.forename: An Xiu
authors.initials: AX
authors.lastname: Dai
authors.affiliation: Department of Neurosurgery, E-da Hospital, I-shou University, Kaohsiung, Taiwan.
authors.forename: Han Jung
authors.initials: HJ
authors.lastname: Chen
authors.affiliation: Department of Neurosurgery, E-da Hospital, I-shou University, Kaohsiung, Taiwan.
authors.forename: Kuo Wei
authors.initials: KW
authors.lastname: Wang
mesh_terms: D000058:Accidental Falls; D000368:Aged; D003937:Diagnosis, Differential; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D020197:Head Injuries, Penetrating / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D013232:Steel; D014057:Tomography, X-Ray Computed
chemical_list: D013232:Steel