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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 12. no 2. June 2013  

 Original articles
Penetrating injury to the face and skull of a child. Case report
Wiesław Konopka, Małgorzata Śmiechura, Małgorzata Strużycka

Introduction. Facial and cranial penetrating injuries constitute
a relatively small proportion of total cranio-cerebral injuries in
children and affect mostly younger children. Almost all such
injuries are fatal, while the survivors can suffer intracranial
bleeding and develop late complications.
Aim. Report a rare case of facial and cranial penetrating injury
due to a shot from self-made crossbow.
Material and methods. The authors present a case of a 9-year
boy who, during drawing the self-made crossbow, shot a steel
bolt into his face. The diagnosing and the surgical procedure
applied to remove the 6 mm thick, 170 mm long metal bolt
have been discussed.
Conclusions. A foreign body penetrating the face and head
is very dangerous. The surgery intended to remove it from
patient’s body requires involvement of a multidisciplinary surgical
team. Imaging should be repeated postoperatively to confirm
resolution of the initial clinical condition.

keywords: penetrujący uraz, twarz, czaszka, dziecko, kusza, penetrating face and head trauma, crossbow bolt, child

pages: from 100 to 100

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