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Transorbital Stab Injury with Retained Knife: A Narrow Escape

机译:保留刀的眶眶刺伤:狭窄的逃脱。

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摘要

Transorbital penetrating injuries are unusual but may cause severe brain damage if cranium is entered. These kinds of injuries are dangerous as the walls of orbit are very thin, hence easily broken by the otherwise innocent objects. Because of the very critical anatomical area involved, these injuries pose a serious challenge to the physicians who first receive them as well as the treating team. These may present as trivial trauma or may be occult and are often associated with serious complications and delayed sequel. Prompt evaluation by utilizing best diagnostic modality available and timely interference to remove them are the key aspects to avoid damage to vital organs surrounding the injury and to minimize the late complications. We report a case of transorbital assault with a 13 centimeter long knife which got broken from the handle and the blade was retained. The interesting aspect is that there was no neurological deficit on presentation or after removal.
机译:眼眶穿刺伤很罕见,但如果输入颅骨,可能会导致严重的脑损伤。这类伤害很危险,因为轨道的壁很薄,因此很容易被其他无害的物体弄碎。由于涉及非常关键的解剖区域,这些伤害对首先接受它们的医生以及治疗团队构成了严峻的挑战。这些可能表现为琐碎的创伤或可能是隐匿性的,并经常伴有严重的并发症和延迟的后遗症。通过利用可用的最佳诊断方式进行及时评估,并及时进行干预以消除它们,这是避免损伤周围重要器官并最大程度减少后期并发症的关键方面。我们报告了一起13厘米长的小刀经眶攻击的情况,这把小刀从手柄上摔断了,刀片被固定住了。有趣的是,就诊时或取出后均无神经功能缺损。

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