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Transorbital subfrontal arrowhead injury: Experience in a low-resource setting
Emmanuel Garba Sunday1, Temitope Mariam Gbadegesin2, Daniel Wycliffe3
1Neurosurgery Unit, Department of Surgery, Modibbo Adama University Teaching Hospital, Yola, Nigeria.
Surgical Neurology International
|November 11, 2024
Summary
Plain X-rays are effective for managing arrow injuries in low-resource settings, even for complex head injuries. This study shows successful retrograde extraction of a transorbital arrow using only X-ray imaging.
Area of Science:
- Neurosurgery
- Radiology
- Trauma Care
Background:
- The insurgency and farmer-herder crisis in northeast Nigeria have led to an increase in arrow injuries.
- Low-resource settings without functional computed tomography (CT) scans require reliance on plain X-rays for patient care decisions.
Observation:
- A patient presented with a right transorbital subfrontal arrow injury.
- Retrograde extraction of the arrow was performed based on plain X-ray findings.
Findings:
- The patient experienced no sequelae after the retrograde arrow extraction.
- Plain X-rays played a crucial role in guiding the management of this complex arrow injury.
Implications:
- Plain X-rays can be a valuable tool for managing arrow injuries in resource-limited environments.
- While CT is the gold standard, X-ray imaging provides essential diagnostic information when advanced imaging is unavailable.
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