1/16. A case of stapler pin in the root canal--extending beyond the apex.There have been several reports describing the placement, by patients, of foreign objects into exposed pulp chambers and canals. In the present case, a 13-year-old patient reported with complaints of pain and a history of inserting a foreign object into the root canal of the left central incisor. On examination the foreign body was found to be a stapler pin which was projecting 5 millimeters from the apical foramen. foreign bodies discovered from the root canal have varied from radiolucent objects like wooden tooth picks or tooth brush bristles to radioopaque materials like paper pins, needles, pencil leads etc. In the present case, despite our best efforts, the patient did not agree to undergo any treatment except for the extraction of the left central incisor.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/16. Craniofacial ballpoint pen injury: endoscopic management.Penetrating facial injuries are not infrequent. There have been isolated case reports of unusual penetrating craniofacial trauma. We describe an unusual case of a 22-month-old child who suffered an external orbital injury from a ballpoint pen that penetrated the orbit, lamina papyracea, posterior ethmoid sinuses, and sphenoid sinus. Endoscopic sinus surgery was performed to extract the ballpoint pen nib after localization with computed tomography. Careful pediatric endoscopic sinus surgery techniques permitted safe foreign body extraction with minimal morbidity.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
3/16. Fishing penetration injuries.BACKGROUND: Fishing involves millions of people throughout the world and is considered a pleasant and harmless sport. However, many kinds of injury can occur. Penetrating injuries to the extremities by fishing equipment such as hooks and harpoons, and even by scales, or infection from penetration of scales etc are relatively common although hardly ever reported in the literature. methods: Illustrative cases of penetrating fishing injuries are presented and discussed, with suggestions for the recommended management of these types of injury. RESULTS: Most of these objects are designed to catch and hold resisting fish, so are usually sharp and narrow in the front and wider in the rear with or without spurs. Because of their very irregular shape, simple extraction by pulling is not recommended, because further damage may occur. CONCLUSIONS: The use of the appropriate imaging modalities, a full knowledge of the contours of the object, and careful preplanning of the method of treatment are very important.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/16. Nail-gun limb injuries.We present four cases and a review of the literature regarding nail-gun related limb injury. Nail guns have significant potential to cause limb and other major injuries. In most cases improper use of the nail-gun is the single most important factor in causing such types of injuries. Treatment of these injuries requires careful assessment of the limb and the type of nail involved in order to enable safe extraction. We recommend the introduction of training in the workforce to encourage awareness of the danger of such devices. We also emphasize the continuing requirements for improved workplace safety and adequate safety equipment when working with such dangerous devices.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
5/16. Late presentation of retained intracardiac ice pick with papillary muscle injury.An unusual case of a penetrating intracardiac injury is described in a 16-year-old boy who presented with a retained 14-cm segment of an ice pick that went unnoticed by the patient for 4 days. The ice pick had lacerated the anterior papillary muscle of the left ventricle causing avulsion of its tip and prolapse of the anterior leaflet of the mitral valve resulting in severe mitral regurgitation. The urgency for surgical correction of the traumatic mitral valve injury at the time of extraction of the intracardiac foreign body through a single-stage approach versus a two-stage approach is discussed.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
6/16. Successful repair of an intracranial nail-gun injury involving the parietal region and the superior sagittal sinus. Case report.Intracranial nail injuries to the brain are rare. Various techniques for the removal of penetrating nails have been reported, but to date successful nail extraction following an injury involving the superior sagittal sinus (SSS) has not been reported. The authors report the case of a nail-gun injury to the midline parietal region with penetration of the SSS. They describe an original surgical technique involving the use of a graft patch of temporal fascia and muscle to repair the SSS following extraction of the nail. The procedure resulted in preservation of distal flow across the sinus and a good neurological outcome. Technical considerations in the repair of penetrating posterior SSS injuries are discussed. Penetrating nail injuries to the brain involving the SSS can be successfully repaired with maintenance of sinus patency.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
7/16. epikeratophakia after ocular trauma.Five patients with long-standing monocular traumatic aphakia and contact lens intolerance underwent epikeratophakia. This procedure was chosen to rehabilitate the visual function in those eyes that exhibited distorted anterior segment anatomy after trauma. Three of the patients had corneal scars associated with their old perforation wounds, and all of them had undergone an intracapsular cataract extraction soon after their original injuries. Best-corrected visual acuity was 20/50 or better in all cases before surgery. Postoperative best-corrected visual acuity improved to within two lines of the best-corrected preoperative visual acuity, after a minimum follow-up period of six months. No intraoperative complications were noted. One cornea developed late-onset partial scarring of the interface in the area of the original scar, but the process arrested spontaneously.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
8/16. Unusual penetrating craniocerebral injuries. Report of three cases.Three cases of penetrating cranio-cerebral injuries are reported. Two were caused by steel hooks shot by rotating blades: in one of these, the foreign body penetrated the brain through the eye-ball and in the second case the main injury was caused by a careless of extraction. In the third case, the foreign body, a key, penetrated the left parasagittal rolandic area following an under-water injury. All three patients were submitted to surgery and had good neurological recovery without complications of infection or seizures.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
9/16. Vertical rupture in posterior corneal layers after cataract extraction.The histopathological description of a 3 mm vertical cut in the posterior layers of a corneal button removed for pseudophakic bullous keratopathy is presented. The corneal complications became clinically evident several weeks after extracapsular cataract extraction with placement of a posterior chamber lens implant. Outstanding histological features were: wall-like elevation of the borders of the cut with swelling of the posterior stromal layers; rolled-in edges of Descemet's membrane; double interruption of Descemet's membrane on one side; regional endothelial atrophy; and total lack of any signs of endothelial regeneration.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |
10/16. Impalement injuries.Impalement injuries are unusual, complex surgical problems. We present a case of impalement through the spine and abdomen, describe a two-team approach to operative extraction utilizing simultaneous laminectomy and laparotomy incisions, and outline the management of an infectious complication caused by unusual bacterial and fungal pathogens. General principles of management include: the impaling object must be stabilized and manipulation avoided during extrication and transport. Operative removal requires careful preplanning, and should be tailored to the specific presenting injuries, with early multispecialty involvement as necessary. Extensive exposure is mandatory and may be achieved through a variety of standard or unconventional incisions so as to permit extraction of the impaled object under direct vision. Meticulous care of the traumatic wound is necessary, and careful followup is required for recognition and early management of infectious complications.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
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