Penetrant injury of the nose with a foreign material

摘要

To the Editor: Occupational accidents are the most common cause of mortality and morbidity after traffic accidents and residential accidents. The traumas mostly related to extremity but less frequently related to the facial area. The frequency of traumas of the maxillofacial area shows differences according to socioeconomic and geographic features of the countries. Upper-extremity, lower-extremity, and head traumas are predominated, but traumas of the facial area are seen rarely. The most traumatized structure in maxillofacial traumas is the nose. Penetrating nasal injury caused by different foreign materials such as a nail or a tree branch as a result of work accident is presented in this study.A 52-year-old male patient who works in construction sector presented to the emergency clinic with a nail pricked to the upper side of his nose (Fig. 1 A). It was learned that the trauma occurred as a nail gun in his friend's hand had ignited. In his examination, general situation was good, and he was conscious. Arterial tension was measured as 130/80 mm Hg, and pulse was checked as 74 beats/min. Although Glasgow Coma Scale score was 15 in his neurologic examination, mental-motor pathology was not encountered. The patients did not have any ache and nose bleed. In the physical examination, the top of the nail was seen in the nasal dorsum, inz the area of midline bone, and then it was observed in endoscopic nasal examination that the tip of the nail was touching the right middle concha, maxillary sinus medial wall.