BUCCOMAXILLOFACIAL APPROACH IN PENETRATING TRAUMA IN PERIOCULAR REGION

Abstract

A male patient, 57 years old, presented with trauma by transfixed wood fragment, with entry into the left eyeball and exit on the soft palate. On physical examination, he was conscious, oriented, eupneic, normocorated with presence of edema and bruise on the left eyelid. A computed tomography scan of the skull was performed, which showed no alterations, and then the patient was referred to the surgical center to remove the object under general anesthesia. In surgery, it was observed that the object pierced the periorbital adipose body without causing damage to the cornea or adjacent structures. Suture was performed on the lower eyelid and soft palate. In the postoperative period, the patient had preserved visual acuity, maintained internal and external motricity, and compatible palpebral edema. The importance of rapid care and the availability of other medical specialties in emergency services are indispensable for proper care and proper management of the patient, providing a better prognosis. A male patient, 57 years old, presented with trauma by transfixed wood fragment, with entry into the left eyeball and exit on the soft palate. On physical examination, he was conscious, oriented, eupneic, normocorated with presence of edema and bruise on the left eyelid. A computed tomography scan of the skull was performed, which showed no alterations, and then the patient was referred to the surgical center to remove the object under general anesthesia. In surgery, it was observed that the object pierced the periorbital adipose body without causing damage to the cornea or adjacent structures. Suture was performed on the lower eyelid and soft palate. In the postoperative period, the patient had preserved visual acuity, maintained internal and external motricity, and compatible palpebral edema. The importance of rapid care and the availability of other medical specialties in emergency services are indispensable for proper care and proper management of the patient, providing a better prognosis.