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Review Case Reports
Management of a steel bar injury penetrating the head and neck: a case report and review of the literature.
- Zhenxing Li, Jigang Chen, Xiaolin Qu, Liwei Duan, Chenguang Huang, Danfeng Zhang, and Lijun Hou.
- Department of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.
- World Neurosurg. 2019 Mar 1; 123: 168-173.
BackgroundNonmissile penetrating injuries to the head and neck caused by a steel bar are rare, and a standard management strategy is lacking.Case DescriptionA 42-year-old woman sustained a steel bar injury with penetration of the head and neck. Computed tomography and three-dimensional reconstruction were performed for preoperative evaluation. Digital subtraction angiography was performed to confirm potential vascular injury. The steel bar was successfully removed through an open surgical procedure by a multidisciplinary team.ConclusionsRelevant literature regarding nonmissile penetrating injuries involving a steel bar was reviewed to propose appropriate management strategies. Comprehensive imaging evaluation and prompt surgery by a multidisciplinary team contributed to the successful removal of the steel bar.Copyright © 2018. Published by Elsevier Inc.
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