Penetrating orbitocranial injury by shoji frame: A rare indoor accident in a Japanese style house.

Q3 Medicine

Surgical Neurology International Pub Date : 2023-01-01 DOI:10.25259/SNI_29_2023

Hideaki Ueno, Satoshi Tsutsumi, Yasutoshi Akasaki, Kohei Yoshida, Natsuki Sugiyama, Hisato Ishii

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Abstract

Background: To the best of our knowledge, there are no reports of penetrating orbitocranial injury (POCI) caused by a shoji frame.

Case description: A 68-year-old man fell in his living room and was stuck headfirst by a shoji frame. At presentation, marked swelling was noted in the right upper eyelid, with the edge of the broken shoji frame exposed superficially. Computed tomography (CT) revealed a hypodense linear structure located in the upper lateral sector of the orbit, partially protruding into the middle cranial fossa. Contrast-enhanced CT revealed intact ophthalmic artery and superior ophthalmic vein. The patient was managed with frontotemporal craniotomy. The shoji frame was extracted by pushing out the extradurally located proximal edge from the cranial cavity and simultaneously pulling the distal edge from the stab wound in the upper eyelid. Postoperatively, the patient received intravenous antibiotic therapy for 18 days.

Conclusion: POCI can be caused by shoji frames as a result of an indoor accident. The broken shoji frame is evidently delineated on CT, which can result in prompt extraction.

Abstract Image

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shoji框架刺穿眶颅伤:罕见的日式住宅室内事故。

背景:据我们所知，目前还没有由shoji框架引起的穿透性眶颅损伤(POCI)的报道。案例描述:一名68岁的男子在客厅摔倒，头朝下被shoji框架卡住。就诊时，右上眼睑明显肿胀，破碎的镜架边缘外露。计算机断层扫描(CT)显示位于眶上外侧的低密度线性结构，部分突出到中颅窝。增强CT显示完整的眼动脉和眼上静脉。患者行额颞开颅术。将位于颅腔外的近端边缘推出，同时将远端边缘从上眼睑的刺伤处拉出，从而提取出shoji框架。术后给予静脉抗生素治疗18天。结论:室内事故导致的shoji框架可引起POCI。在CT上清晰地描绘出破碎的shoji框架，可以及时提取。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Neurology International Medicine-Surgery

CiteScore

1.30

自引率

0.00%

发文量

623