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Penetrating craniofacial trauma from a vice clamp: case report and discussion

Published online by Cambridge University Press:  11 May 2015

Colleen Kjelland  and
Warren Thirsk
Colleen Kjelland*
Affiliation:
Department of Emergency Medicine, University of Alberta, Edmonton, AB
Warren Thirsk
Affiliation:
Department of Emergency Medicine, University of Alberta, Edmonton, AB
*
Kingsway Emergency Agency, Royal Alexandra Hospital, 541 CSC, 10240 Kingsway Avenue, Edmonton, AB T5H 3V9; cryan@ualberta.ca

Abstract

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Penetrating craniofacial trauma, although uncommon, has a high potential for death or serious morbidity from injury to vital neurovascular structures. An in situ facial foreign body, particularly if large, presents significant challenges beyond safe and timely removal. Airway management, stabilization of the object, management of increased intracranial pressure, and identification of injuries to local structures are all issues that may require addressing. We present a case of penetrating facial trauma from a vice clamp, with an in situ foreign body, that illustrates several of these challenges and provides a forum for their discussion.

Keywords

craniofacial injuryfacial injuryforeign bodymaxillofacial injurypenetrating trauma
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 13 , Issue 1 , January 2011 , pp. 57 - 61
Copyright
Copyright © Canadian Association of Emergency Physicians 2011

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