Management of Complex Facial Injuries: Cutting Traumas by Angle Grinders.

Holger Sudhoff,Ingo Todt,Nazli Ay,Jan Schulte Am Esch

doi:10.1155/2020/1891250

Holger Sudhoff, Ingo Todt + Show 2 more

Open Access

https://doi.org/10.1155/2020/1891250

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Abstract

The use of angle grinders can lead to complex facial injuries. The most frequent sites affected are within the head and face region. Anatomical boundaries or structures are not respected by the high-speed disc of angle grinders, and thus, injuries can be mutilating, permanently disabling, or even lethal. Functional and aesthetical satisfying results can be reached through debridement, excision of wound edges, and meticulous layered functional closure after appropriate reconstruction of additional facial bony defects. The management and short-term outcome of a complex facial cutting trauma by an angle grinder are presented and discussed.

Highlights

Penetrating injuries are infrequent but expose a variable entity of craniofacial traumas for the management by otorhinolaryngology, head and neck, maxillofacial, or plastic surgery. e close anatomical relationships of vital structures stress the distinctive importance to the primary clinical evaluation and management of such patients
Case 1: a 46-year-old Caucasian construction site worker was admitted intubated to the emergency room with a penetrating injury of an angle grinder without a guard
After the reposition of the displaced nasal bony fragments and metallic foreign body material, excision of wound edges was followed by meticulous layered functional closure starting with vermilion

Summary

Introduction

Penetrating injuries are infrequent but expose a variable entity of craniofacial traumas for the management by otorhinolaryngology, head and neck, maxillofacial, or plastic surgery. e close anatomical relationships of vital structures stress the distinctive importance to the primary clinical evaluation and management of such patients. Penetrating injuries are infrequent but expose a variable entity of craniofacial traumas for the management by otorhinolaryngology, head and neck, maxillofacial, or plastic surgery. E close anatomical relationships of vital structures stress the distinctive importance to the primary clinical evaluation and management of such patients. Facial injuries resulting from the use of angle grinders are common. Most cases are succeeding to penetrating injuries by split-offs originating from the angle grinder’s working surface or from its cutting disc. Severe trauma results from direct cutting injury by the working tool. We present two cases of a complex trauma to the facial midline due to out-of-control angle grinders

Case Reports

Discussion