Frontal penetrating arrow injury: A case report

Area of Science:

• Pediatric Trauma Surgery
• Otolaryngology
• Emergency Medicine

Background:

• Penetrating head and neck arrow injuries in children are rare but associated with significant morbidity and mortality due to proximity to vital structures.
• The management of such injuries presents a complex challenge requiring a coordinated, multidisciplinary approach.
• Prompt and effective intervention is crucial for patient outcomes.

Observation:

• A 13-year-old male presented with an arrow injury to the frontal region, with the arrowhead extending into the oropharynx.
• Imaging revealed paranasal sinus involvement but no compromise of critical neurovascular structures.
• The patient's clinical presentation indicated a need for urgent but careful management.

Findings:

• Successful removal of the arrowhead was achieved using retrograde nasoendoscopy, a minimally invasive technique.
• The procedure was performed without any immediate complications.
• Post-operative recovery was uneventful, leading to patient discharge.

Implications:

• Retrograde nasoendoscopy represents a viable and effective minimally invasive option for managing certain pediatric maxillofacial arrow injuries.
• Multidisciplinary collaboration is essential for optimizing treatment strategies and patient care in these rare cases.
• Preservation of function and aesthetics can be achieved through advanced endoscopic techniques.