An unusual case of penetrating head injury following road traffic accident

A 35 year old male was presented with discharging sinus at left frontozygomatic region with trismus for last 1 month. The patient had a past history of penetrating trauma in the vicinity of the left frontozygomatic area following road traffic accident 6 months back. 3D-CT skull was showed a linear d...

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Bibliographic Details
Main Author: Mithilesh Kumar Pandey
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2015-04-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/12329
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author Mithilesh Kumar Pandey
author_facet Mithilesh Kumar Pandey
author_sort Mithilesh Kumar Pandey
collection DOAJ
description A 35 year old male was presented with discharging sinus at left frontozygomatic region with trismus for last 1 month. The patient had a past history of penetrating trauma in the vicinity of the left frontozygomatic area following road traffic accident 6 months back. 3D-CT skull was showed a linear dense radiolucent foreign body obliquely placed in the left temporal and infratemporal fossa. Trismus due to trauma usually follows road accidents leading to massive faciomaxillary injury. But in this case an initial minor penetrating injury was presented trismus in delayed fashion. The aero digestive tract is the commonest site involved in foreign body lodgement in head and neck region. However the lodgement of foreign-body in an area of infratemporal fossa with unusual symptoms of trismus is quite rare and only few cases have been reported in the literature so far following a road traffic accident.
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spelling doaj.art-2a68f98e7a814c8eb01eb2661b543dc32022-12-22T01:22:55ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762015-04-01657577https://doi.org/10.3126/ajms.v6i5.12329An unusual case of penetrating head injury following road traffic accidentMithilesh Kumar Pandey0Department of Neurosurgery, Nil Ratan Sirkar Medical College and Hospital, KolkataA 35 year old male was presented with discharging sinus at left frontozygomatic region with trismus for last 1 month. The patient had a past history of penetrating trauma in the vicinity of the left frontozygomatic area following road traffic accident 6 months back. 3D-CT skull was showed a linear dense radiolucent foreign body obliquely placed in the left temporal and infratemporal fossa. Trismus due to trauma usually follows road accidents leading to massive faciomaxillary injury. But in this case an initial minor penetrating injury was presented trismus in delayed fashion. The aero digestive tract is the commonest site involved in foreign body lodgement in head and neck region. However the lodgement of foreign-body in an area of infratemporal fossa with unusual symptoms of trismus is quite rare and only few cases have been reported in the literature so far following a road traffic accident.https://www.nepjol.info/index.php/AJMS/article/view/12329trismusinfratemporal fossa3d-ct skulltemporomandibular jointpenetrating foreign bodies.
spellingShingle Mithilesh Kumar Pandey
An unusual case of penetrating head injury following road traffic accident
Asian Journal of Medical Sciences
trismus
infratemporal fossa
3d-ct skull
temporomandibular joint
penetrating foreign bodies.
title An unusual case of penetrating head injury following road traffic accident
title_full An unusual case of penetrating head injury following road traffic accident
title_fullStr An unusual case of penetrating head injury following road traffic accident
title_full_unstemmed An unusual case of penetrating head injury following road traffic accident
title_short An unusual case of penetrating head injury following road traffic accident
title_sort unusual case of penetrating head injury following road traffic accident
topic trismus
infratemporal fossa
3d-ct skull
temporomandibular joint
penetrating foreign bodies.
url https://www.nepjol.info/index.php/AJMS/article/view/12329
work_keys_str_mv AT mithileshkumarpandey anunusualcaseofpenetratingheadinjuryfollowingroadtrafficaccident
AT mithileshkumarpandey unusualcaseofpenetratingheadinjuryfollowingroadtrafficaccident