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Nilesh P Daya1, Heidi L Liversage
1Division of Maxillofacial and Oral Surgery, Department of Surgery, University of the Witwatersrand. prinil@webmail.co.za
Summary
Maxillofacial knife blade injuries are rare, with retained blades even rarer. Prompt identification and surgical removal of these foreign objects are crucial for patient outcomes.
Area of Science:
- Maxillofacial surgery
- Trauma surgery
- Emergency medicine
Background:
- Penetrating knife blade injuries to the maxillofacial region are uncommon.
- Retained foreign bodies, such as knife blades, in this anatomical area present unique challenges.
Purpose of the Study:
- To discuss the management of rare cases of retained knife blades in the maxillofacial region.
- To highlight the importance of identifying and treating associated injuries.
Main Methods:
- Review of ten patient cases with retained maxillofacial knife blade injuries.
- Utilized plain radiographs and angiograms to assess foreign object proximity to vascular structures.
- Surgical exploration and removal of the impacted blade in a theater setting.
Main Results:
- Ten cases of retained knife blade injuries in the maxillofacial region were analyzed.
- Diagnostic imaging (radiographs, angiograms) was essential for pre-operative planning.
- All impacted blades were successfully removed in the operating room.
Conclusions:
- Retained knife blades in the maxillofacial region require prompt diagnosis and surgical intervention.
- Comprehensive assessment for associated vascular, ocular, and neurosurgical injuries is critical.
- Multidisciplinary management is key for optimal outcomes in these rare trauma cases.