Case Series: Successful Resuscitation of Severe Facial Injuries Caused by a Chainsaw
The treatment outcome remains poor of severe facial injuries because of the high risk of compromised airway or massive bleeding. We experienced two successful treatment cases of severe facial injury by the chainsaw. A 52-year-male had his face injured by the chainsaw during his work. He was transfer...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2019-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-32-3-168.pdf |
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| _version_ | 1850212528456466432 |
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| author | Han Joo Choi |
| author_facet | Han Joo Choi |
| author_sort | Han Joo Choi |
| collection | DOAJ |
| description | The treatment outcome remains poor of severe facial injuries because of the high risk of compromised airway or massive bleeding. We experienced two successful treatment cases of severe facial injury by the chainsaw. A 52-year-male had his face injured by the chainsaw during his work. He was transferred to the Level I trauma center using the Doctor-Helicopter. During his flight, bleeding control was tried and the information was given to the trauma surgeons before his arrival. His consciousness was alert and the vital signs were stable. The crushing wound, mandible open fracture, deep laceration of tongue, lip, neck and arterial bleeding were noted around his mandible. Nasotracheal intubation was performed under the bronchoscope-guided. Emergency operation (open reduction & internal fixation, primary repair with neurorrhaphy) was performed. At 30 hospital days, he was discharged with facial palsy on left mandibular area. A 30-year-male had his face injured by the chainsaw. He was transferred to our Level I trauma center from the local hospital. The deep-mutiple lacerations on right upper eyelid and forehead with the bony exposure were noted. The vital signs were stable and emergency operation was performed. He was discharged at 20 hospital days. Bone loss or tissue loss were not devastating than we expected even though the injury was occurred by the chainsaw. Aggressive treatment including airway manipulation or bleeding control and maximal opportunity of therapy are absolutely needed. |
| format | Article |
| id | doaj-art-8a5ab7f9028e45f18909b26621b0f760 |
| institution | OA Journals |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-8a5ab7f9028e45f18909b26621b0f7602025-08-20T02:09:18ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832019-09-0132316817110.20408/jti.2019.027914Case Series: Successful Resuscitation of Severe Facial Injuries Caused by a ChainsawHan Joo Choi0Department of Emergency Medicine, Dankook University Hospital, Cheonan, KoreaThe treatment outcome remains poor of severe facial injuries because of the high risk of compromised airway or massive bleeding. We experienced two successful treatment cases of severe facial injury by the chainsaw. A 52-year-male had his face injured by the chainsaw during his work. He was transferred to the Level I trauma center using the Doctor-Helicopter. During his flight, bleeding control was tried and the information was given to the trauma surgeons before his arrival. His consciousness was alert and the vital signs were stable. The crushing wound, mandible open fracture, deep laceration of tongue, lip, neck and arterial bleeding were noted around his mandible. Nasotracheal intubation was performed under the bronchoscope-guided. Emergency operation (open reduction & internal fixation, primary repair with neurorrhaphy) was performed. At 30 hospital days, he was discharged with facial palsy on left mandibular area. A 30-year-male had his face injured by the chainsaw. He was transferred to our Level I trauma center from the local hospital. The deep-mutiple lacerations on right upper eyelid and forehead with the bony exposure were noted. The vital signs were stable and emergency operation was performed. He was discharged at 20 hospital days. Bone loss or tissue loss were not devastating than we expected even though the injury was occurred by the chainsaw. Aggressive treatment including airway manipulation or bleeding control and maximal opportunity of therapy are absolutely needed.http://www.jtraumainj.org/upload/pdf/jti-32-3-168.pdffacial injuriescrush injuriesemergency treatment |
| spellingShingle | Han Joo Choi Case Series: Successful Resuscitation of Severe Facial Injuries Caused by a Chainsaw Journal of Trauma and Injury facial injuries crush injuries emergency treatment |
| title | Case Series: Successful Resuscitation of Severe Facial Injuries Caused by a Chainsaw |
| title_full | Case Series: Successful Resuscitation of Severe Facial Injuries Caused by a Chainsaw |
| title_fullStr | Case Series: Successful Resuscitation of Severe Facial Injuries Caused by a Chainsaw |
| title_full_unstemmed | Case Series: Successful Resuscitation of Severe Facial Injuries Caused by a Chainsaw |
| title_short | Case Series: Successful Resuscitation of Severe Facial Injuries Caused by a Chainsaw |
| title_sort | case series successful resuscitation of severe facial injuries caused by a chainsaw |
| topic | facial injuries crush injuries emergency treatment |
| url | http://www.jtraumainj.org/upload/pdf/jti-32-3-168.pdf |
| work_keys_str_mv | AT hanjoochoi caseseriessuccessfulresuscitationofseverefacialinjuriescausedbyachainsaw |