Abstract
The face is in a position exposed to trauma, which often leads to soft tissue rupture, favoring the penetration and retention of foreign bodies. The present paper is a case report which aims to clarify some pitfalls in the evaluation of traumatic wounds. A 28-year-old female who was a victim of an automobile accident, presenting lacerations in the face already sutured during our evaluation, with suspicion of bone fractures. Computed tomography evaluation showed comminuted fractures in the anterior frontal sinus wall and foreign bodies similar to glass fragments within the frontal sinus and right orbit. Surgical treatment was planned and performed to reduce bone fractures and remove the foreign bodies. The patient is in postoperative follow-up without major complaints. The present study contributes to the current literature with a case where a careful diagnosis, with the collection of the history of the wounds, careful inspection of the wounds under suitable conditions lead to a good treatment of the lacerations and identification of foreign bodies.
Highlights
The treatment of soft tissue injuries in the face has great prominence for the care of polytraumatized patients since incorrect handling can lead to aesthetic and psychological sequels in the patients, being the objective of the treatment to minimize infectious processes and unsightly scars [1,2].Face injuries may occur in a variety of ways, varying according to their complexity, extent, degree of contamination, etiologic agent and time elapsed from the trauma [3]
Every traumatic wound should be investigated for foreign bodies, and all available diagnostics maneuvers or complementary exams should be used
The glass fragments in the frontal sinus and between the upper and conjunctival eyelids were removed and the fractures were treated with a mini-plate of the 1.5 system with low profile and monocortical screws, in addition to a titanium mesh fixed with monocortical screws which allowed to reestablish the contour of the region (Figure 3B)
Summary
The treatment of soft tissue injuries in the face has great prominence for the care of polytraumatized patients since incorrect handling can lead to aesthetic and psychological sequels in the patients, being the objective of the treatment to minimize infectious processes and unsightly scars [1,2].Face injuries may occur in a variety of ways, varying according to their complexity, extent, degree of contamination, etiologic agent and time elapsed from the trauma [3]. All foreign bodies, such as dirt, metal, clothes and glass, should be removed with minimal mechanical trauma and adequate debridement should be performed [1,2].
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