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An unusual case of orbito-frontal rod fence stab injury with a good outcome
Massimo Miscusi1, Paolo Arangio, Luca De Martino
1Institute of Legal Medicine, Catholic University of the Sacred Heart, 00168 Rome, Italy. fabio.degiorgio@rm.unicatt.it.
Background:
High-energy non-missile penetrating injuries (stab injuries) account for a small percentage of penetrating head injuries and they present a series of special features.
Case Presentation:
A 35-year-old man suffered orbito-frontal? and trans-cranial injuries after falling five meters from a terrace onto a rod iron fence. The removal of the metal rod was performed outside the operating room. The orbital roof was exposed and repaired through a bifrontal craniotomy and the frontal sinuses were cranialised. The orbital floor and zygoma were plated with micro-screws.
Conclusion:
The patient recovered without significant complications, apart from a slight paresis of the right superior rectus; the ocular globe remained intact.The positive outcome obtained in this very challenging case is attributable to the competency of the Neurotrauma Unit and to the use of a synergistic approach which involved the contribution of neurosurgeons, maxillo-facial surgeons, radiologists and anaesthesiologists.
