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KMID : 1143720230190030356
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Korean Journal of Neurotrauma
2023 Volume.19 No. 3 p.356 ~ p.362
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Particular Surgical Technique for Transorbital?Penetrating Craniocerebral Injury Inflicted by a Screwdriver: Technical Case Report
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Dewa Putu Wisnu Wardhana
Christopher Lauren
Steven Awyono
Rohadi Muhammad Rosyidi
Tiffany Tiffany
Sri Maliawan
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Abstract
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Surgical techniques for non-missile penetrating brain injuries (PBI) are challenging because they require good preoperative planning. Generally, extraction is performed ipsilaterally at the entry site. In certain cases, the extraction can be performed contralaterally through the inner end of the foreign body; however, this requires special consideration. We present a case report of a patient who had a stab wound on the head via a screwdriver and underwent surgery, during which extraction was performed contralaterally through the inner end of the screwdriver without inducing any neurological deficit. Careful preoperative planning and surgical technique modification are required to minimize morbidity and mortality in patients with PBIs.
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KEYWORD
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Craniocerebral injuries, Head trauma, Neurosurgery, Open head injury
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