Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

PENETRATING INJURY OF FACE AND NECK WITH THE VERTEBRAL ARTERY INJURY;A CASE REPORT

추골동맥 손상을 동반한 안면과 경부의 관통성 외상 치험예

  • Song, Woo-Sik (Department of Oral & Maxillofacial surgery, Pundang CHA Hospital, Pochun CHA Medical College.) ;
  • Kim, In-Kwon (Department of Oral & Maxillofacial surgery, Pundang CHA Hospital, Pochun CHA Medical College.) ;
  • Lee, Sang-Hyun (Department of Oral & Maxillofacial surgery, Pundang CHA Hospital, Pochun CHA Medical College.) ;
  • Hwang, Yun-Jung (Department of Oral & Maxillofacial surgery, Pundang CHA Hospital, Pochun CHA Medical College.) ;
  • Ahn, Jung-Yong (Dept. of Neurosurgery, Pundang CHA Hospital, Pochun CHA Medical College.)
  • 송우식 (포천중문의과대학교 분당차병원 구강악안면외과) ;
  • 김인권 (포천중문의과대학교 분당차병원 구강악안면외과) ;
  • 이상현 (포천중문의과대학교 분당차병원 구강악안면외과) ;
  • 황윤정 (포천중문의과대학교 분당차병원 구강악안면외과) ;
  • 안정용 (포천중문의과대학교 분당차병원 신경외과)
  • Published : 2001.10.30
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Abstract

With the exception of gun shot wound, the incidence of penetrating injury of face and neck areas nonorganic foreign bodies is relative low. But the diagnostic evaluation and therapeutic management of penetrating facial wounds need careful decision, when the anatomic proximity of the major vessels and nerve is considered. Penetrating facial trauma with concomitant vascular injury present challenging problems, the immediate complication of this vascular injury are severe bleeding, hematoma formation, shock, obstruction of airway. The vascular injury is conformed by angiography. In this report, a industrial tool(long tack) fired by explosive air is penetrated into face and to neck. In angiograms penetrating injury of the vertebral artery is detected. We performed the embolization of the vertebral artery with coils and manual removal of the foreign body without any complication was followed.

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