İnşaat Çivisine Bağlı Nadir Görülen Baş Boyun Travması: Olgu Sunumu

Year 2014, Volume: 5 Issue: 7, 203 - 205, 01.07.2014

Bülent Agüloğlu Aylin Gül Musa Özbay Fazıl Emre Özkurt Müzeyyen Çetin İsmail Topçu

Abstract

Giriş: Beş yaşından küçük çocuklarda orofarengeal penetran
travmalar, kendilerini korumada yetersiz olmaları nedeni ile daha
sıklıkla rastlanmaktadır.
Olgu Sunumu: Bu yazıda, inşaat çivisinin üzerine düşme sonrası
orofarengeal penetran travmalı 2 yaşındaki kız hasta sunuldu.
Hastaya yapılan fizik muayene, çekilen radyolojik incelemeler
sonunda yabancı cismin yumuşak ve sert damak bileşkesinden
ilerleyip nazofarenksten geçerek kafa tabanında klivusa dayandığı
görüldü. Ek klinik görüşler sonrası operasyona alınan hastada
postoperatif dönemde herhangi bir nörolojik veya vizuel aktivite
eksikliği izlenmedi. Takiplerinde komplikasyon gelişmeyen hasta
önerilerle taburcu edildi.
Sonuç: Orofarengeal penetran travmalarda hayati organlara olan
komşuluk nedeni ile mortalite ve morbidite açısından dikkatli
olunmalıdır.

Keywords

İnşaat çivisi, orofarengeal penetran travma, nörovaskuler komplikasyon

Rare Head and Neck Trauma due to Construction Nail: Case Report

Abstract

Introduction: Oropharyngeal penetrating trauma is encountered more often in children under the age of 5 due to lack of their selfprotection.Case Report: In this paper, a 2-year-old girl who had penetrating oropharyngeal trauma after falling on a construction nail was presented. As a consequence of the physical examination and radiological examination applied to the patient, it was seen that the foreign body reached the clivus in the base of the skull, through the nasopharynx, passing by the hard and soft palate junction. In the status of the patient, who was operated on, no additional clinical aspects or neurological or lack of visual activity was observed in the post-operative period. As there was no complication during the follow-ups, the patient was discharged with recommendations.Conclusion: Oropharyngeal penetrating trauma should be careful in terms of mortality and morbidity due to the proximity to vital organs

Keywords

Construction nail, oropharyngeal penetrating trauma, neurovascular complications

References

• Hellmann JR, Shott SR, Gootee MJ. Impalement injuries of the palate in children: review of 131 cases. Int J Pediatr Otorhinolaryngol 1993; 26: 157-63. [CrossRef]
• Siou G, Yates P. Retropharyngeal abscess as a complication of oropharyngeal trauma in an 18-month-old child. J. Laryngol. Otol. 2000; 114: 227-8 [CrossRef]
• Younessi OJ, Alcaino EA. Impalement injuries of the oral cavity in children: A case report and survey of the literature. Int J Paediatr Dent 2007; 17: 66-71 [CrossRef]
• Kupietzky A. Clinical guidelines for treatment of impalement injuries of the oropharynx in children. Pediatr Dent 2000; 22: 229-31
• Tanaka T, Sudo M, Iwai K, Fujieda S, Saito H. Penetrating injury to the pharynx by a toothbrush in a pediatric patient: a case report. Auris Nasus Larynx 2002; 29: 387-9. [CrossRef]
• Sasaki T, Toriumi S, Asakage T, Kaga K, Yamaguchi D, Yahagi N. The Toothbrush: A Rare but Potentially Life-Threatening Cause of Penetrating Oropharyngeal Trauma in Children. Pediatrics 2006; 118; e1284-6. [CrossRef]
• Raska G.M, Cordova S.W, Rick Lema, Goldwasser M.S. Management of Penetrating Trauma to the Soft Palate: A Case Report. J Oral Maxillofac Surg 2007; 65: 1279-85 [CrossRef]
• Suskind DL, Tavill MA, Keller JL, Austin MB. Management of the carotid artery following penetrating injuries of the soft palate. Int J Pediatr Otorhinolaryngol 1997; 39: 41-9 [CrossRef]
• Takenoshita Y, Sasaki M, Horinouchi Y, Ikebe, Y. Kawanol. Impalement injuries of the oral cavity in children. J Dent Children 1996; 63: 181-4.
• Scott R. Schoem, Sukgi S. Choi, George H. Zalzal, Kenneth M. Grundfast. Management of oropharyngeal trauma in children. Arch Otolaryngol Head Neck Surg 1997; 123: 1267-70. [CrossRef]