TRAUMATISME CERVICO-FACIAL PAR BARRE DE FER : A PROPOS DE DEUX CAS PEDIATRIQUES

Abstract

objective: Head and neck trauma is common in ENT emergencies. The severity depends on the area of impact, the causal object and the injuries caused. We report two cases of head and neck trauma secondary to an iron bar caused by a playful accident.observation 1: 12-year-old boy received for penetrating neck wound with an iron bar, affecting sectors 2 and 3 with entry point at the left subdigastric region and exit point at the ipsilateral mastoid region. The exploratory cervicotomy did not find any major vascular lesions and allowed the extraction of the blunt object. The postoperative course was simple.observation 2: 8-year-old girl received for trauma to the mandible by a transfixing iron bar. The exploration revealed an iron bar which crossed the submental region with an exit point at the level of the floor of the mouth. The extraction was carried out without major vasculo-nervous lesions. The postoperative course was simple.Conclusion: Head and neck trauma remains a concern due to its potential seriousness and remains a medical-surgical emergency. The management of such a case must be preceded by a lesion diagnosis in order to prevent surgical surprises. Exploratory cervicotomy allows good exposure of the vascular-nervous structures. Prevention through parent education and child monitoring is essential to reduce the incidence of these injuries.