An unusual transoral penetrating injury by scissors in a child and principles of management

Abstract

Injuries caused by the penetration of foreign bodies into the hard and soft tissue are called penetrating injuries. Penetrating injuries on the head and neck region are often the result of deliberate injuries performed by another person. A 4-year-old girl was admitted to the emergency room with penetrating injury due to the insertion of scissors to the right cheek. In her physical examination, it was observed that a sharp object of approximately 7cm (tip of scissors) had penetrated towards the base of the skull from the right cheek of the patient. No neurological deficits were detected. After antibiotic therapy and tetanus prophylaxis, the patient was operated on, and the penetrant object was removed. No neurological damage was detected in the postoperative 1-year follow-up.

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