CASE STUDY
EXTENSIVE CRANIOFACIAL INJURY CAUSED BY CIRCULAR SAW
 
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Department of Otolaryngology, Laryngological Oncology, Audiology and Phoniatrics, Medical University of Lodz, Poland
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
CORRESPONDING AUTHOR
Jurek Olszewski   

Prof. Jurek Olszewski, MD, PhD, Department of Otolaryngology and Laryngological Oncology, Audiology and Phoniatrics, Medical University of Łódź, Żeromskiego 113, 90-549 Łódź, Poland, e-mail: jurek.olszewski@umed.lodz.pl
Publication date: 2020-04-07
 
J Hear Sci 2019;9(1):40–45
 
KEYWORDS
ABSTRACT
Introduction:
Craniofacial injuries are a complex clinical issue and their treatment requires multi-specialty intervention. We present the case of a man hospitalized at the Department of Otolaryngology, Laryngological Oncology, Audiology and Phoniatrics, Medical University in Lodz, Poland, due to extensive craniofacial injury caused by a circular saw.

Case report:
A 61-year-old male patient (Z.K.) was transported by ambulance to the Emergency Department of the University Clinical Hospital, Military Memorial Medical Academy, Lodz, due to extensive craniofacial injury. The patient was conscious and remembered the course of the event. He exhibited stable respiratory and cardiovascular function and was in logical verbal contact. A CT scan revealed fracture of the anterior wall of the frontal sinus, with dislocation of fragments to the area of the piriform aperture on the right side, and a hematoma in the right frontal and maxillary sinus. The diagnostic and therapeutic management was successful, with the patient discharged from hospital on the 9th day in good general condition. The external appearance after treatment was fully satisfactory for the patient. There were no inflammatory complications in the healing of wounds and no evidence of lagophthalmos, facial nerve paresis, ocular complications, or excessive lacrimation which could result of nosolacrimal duct obstruction. The success of the therapy, both functionally and aesthetically, was achieved due to quick diagnosis and appropriate surgical and pharmacological treatment, including broad-spectrum antibiotics.

Conclusions:
In the case of extensive craniofacial injuries, rapid diagnosis and implementation of appropriate, highly specialized multidisciplinary treatment is needed. Patients such as this should be referred to the highest level centers.

 
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