A Case of Penetrating Head Injury Caused by a Chopstick

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  • Nogaki Taketoshi
    Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital
  • Terao Hajime
    Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital

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  • 箸による穿通性頭部外傷例
  • 臨床 箸による穿通性頭部外傷例
  • リンショウ ハシ ニ ヨル センツウセイ トウブ ガイショウレイ

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Abstract

We report a case of penetrating head injury caused by a chopstick, and report it in the context of the current literature.<br> A two-year-old girl falling on the morning of September 2, 2009, while walking with a chopstick in her mouth got the chopstick stuck in her throat. Her mother, when removing the chopstick, found the tip gone and the girl was seen for the problem. She presented with a contused wound in the left soft palate, but optical fiberscopy showed no foreign substance. Head and neck computed tomography (CT) and magnetic resonance imaging (MRI) showed a low-density area breaking into the skull from the atlantooccipital joint, consistent with a wooden chopstick. In joint emergency surgery by the neurosurgery and plastic surgery departments, the soft palate was incised along the median line for enhanced visibility and vertebral body C1 confirmed. The mucosa was incised on the median line and vertebral body C1 confirmed. Desquamation was continued and the foreign object found and removed. Neither the epidural venous plexus or dura was damaged. After lavage, fibrin glue was applied, the wound sewn up, and the surgery completed.<br> The postoperative course was good and the girl was discharged on September 10, postoperative day 8.<br>

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