Head wound from an air gun.
Patient C., 16 years old, applied. According to the patient's words, the previous day he accidentally shot himself in the head from a pneumatic weapon. On visual examination, an entrance hole with a diameter of 2-3 mm was seen in the right frontal region.
Intraoperative photograph. The entrance hole in the frontal region on the right side is visible.
The patient underwent MSCT of the brain. A foreign body is seen in the soft tissues of the frontal region. Due to metal artifacts it is not possible to make an unambiguous conclusion about the presence or absence of damage to the frontal bone.
MSCT of the brain: axial and coronal scans show a metallic foreign body. Due to artifacts, it is difficult to clearly determine whether or not there is a frontal bone lesion.
3D reconstruction based on MSCT. Foreign body in the frontal region on the right side.
3D reconstruction based on MSCT. Foreign body in the frontal region on the right side.
3D reconstruction based on MSCT. Foreign body in the frontal region on the right side. Inside view
The patient is taken for surgery. Soft tissue infiltration anesthesia Sol.Novocaini 0.5%-30.0. A 3.0 cm linear horizontal soft tissue incision was made in the frontal region with inclusion of the existing entrance wound in the center of the incision. The wound edges were dilated with a Jansen retractor. The onorod body was visualized, grasped with a clamp and extracted. Visual examination revealed no damage to the frontal bone. The wound edges were sutured with continuous sutures according to Multanovsky
Intraoperative photograph. The edges of the wound are separated. A foreign body is visible at the bottom of the wound.
Intraoperative photograph. The foreign body is grasped with a clamp.
Intraoperative photograph. The foreign body has been removed.
Intraoperative photograph. There are no signs of damage to the frontal bone.
The surgical wound was sutured with continuous sutures according to Multanovsky.
The patient was discharged the next day with a recommendation to remove the sutures in 10-12 days.