Abstract
Objective: New method to use magnet for localization and extraction of shell during head and neck surgery. Method: Series of 3 cases study all are boy’s 17_15_5 years old respectively. All are with penetrating shell injuries to head and neck in Salahaden General Hospital-Tikrit city-Iraq from 25-Oct.-2016 to 30 March 2017. This hospital is a central general governmental hospital that receives referral cases from region distal to the center of Salahaden province at north of Baghdad city (capital of Iraq) and plays a major rule in management of injured patient during war. The cases are selected after explanation of this new method to the patients, it is expected result, risk, possible complication, and unexpected sequelae that may happen after surgery. Prior consent from patients and their families about this sort of surgery has been got. These patients are from families of low socio economic group except the last one he is medium class. All are undergoing surgical management with the aid of magnet. Result: we have 3 cases of shell injuries to head and neck magnet is used successfully for identification of shells and helps in their extraction. Our trial is limited for metallic objects and limited depth. Conclusion: These results suggest that magnet aid removal of shell during head and neck surgery, is less invasive technique, minimal trauma to the surrounding tissues and reducing time of surgery.
Highlights
In IRAQ because of war against terrorism there is an increase incidence of shell injuries between civilian and military persons
Our trial is limited for metallic objects and limited depth. These results suggest that magnet aid removal of shell during head and neck surgery, is less invasive technique, minimal trauma to the surrounding tissues and reducing time of surgery
Shell injuries of head and neck represent complex management challenge because main blood vessels and vital structures are at risk, which include:
Summary
In IRAQ because of war against terrorism there is an increase incidence of shell injuries between civilian and military persons. Shell injuries of head and neck represent complex management challenge because main blood vessels and vital structures are at risk, which include: Skull, facial bones and vertebrae. All penetrating injuries to head and neck that breach the platysma muscle are potentially dangerous and may require emergency treatment because of presence of vital structure in the neck which can injure. “Magnets have been used by humans since their discovery 10 centuries B.C. The use of magnet directly during head and neck surgery leads to reduction of time of surgery and minimizes the trauma to the tissue. This technique will probably further develop with progress of surgery
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