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National Journal of Maxillofacial Surgery
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Year : 2012  |  Volume : 3  |  Issue : 2  |  Page : 207-210

Penetrating skull injury with six inch fence rod

Apollo Gleneagles Hospital 58, Canal Circular Road, Kolkata, West Bengal, India

Correspondence Address:
Kamlesh Kothari
Aesthetica, No. 6, Ho Chi Min Sarani, 1st floor, Harrington Nursing Home Compound, (Next to US Consulate), Kolkata - 700071, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0975-5950.111384

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In this study we are describing an unusual case of the boundary fence (6 inch long) penetrating through the skull vault and lodging into the middle cranial fossa. A 10 years old male child fell onto his house fence while playing on the terrace. The metal fence penetrated through the scalp, parietal bone, midbrain and the midface, fracturing the parietal and the midfacial bones. CT-scans were obtained to view the trajectory and the position of the fence. The amount of midbrain injury was also accessed. The degree of morbidity vis-à-vis the type of injury was surprisingly low. Safe access to the fence was made through a bicoronal incision and modified bifrontal craniectomy to retrieve the lodged portion of the fence. These kind of penetrating injuries are rare considering the thickness of the vault. Proper preoperative planning and team approach is required for the safe surgical removal of the objects.

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