Two patterns of impalement injury to the oral cavity: Report of four cases and review of literature

International Journal of Pediatric Otorhinolaryngology
Nitin ChauhanHamdy El-Hakim

Abstract

Impalement injuries to the oral cavity are common, and typically resolve with minimal intervention. We encountered two distinct patterns of injury that required active intervention in four consecutive patients. The first two patients, aged 2 and 7 years, sustained injuries to the floor of mouth and subsequently developed infectious complications necessitating surgical drainage. The other two, aged 4 and 5 years, sustained injuries to the junction of the hard and soft palate, avulsing deep flaps that required repair. Neurovascular complications, despite their rarity have earned maximal discussion in the literature. We feel that traumatic lacerations and infectious complications have far more clinical relevance due to their frequency of occurrence, and should thus occupy a more prominent position in the management flow chart.

References

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Citations

Aug 5, 2014·Neuroimaging Clinics of North America·Bernadette L Koch
Dec 3, 2014·Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale·A ParéB Laure
Feb 3, 2012·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Ryo SasakiTomohiro Ando
Sep 16, 2015·The Laryngoscope·Aisha LaremHassan Haidar
Sep 10, 2014·Case Reports in Emergency Medicine·E C FrancisP A Eadie
May 8, 2015·Journal of Emergencies, Trauma, and Shock·Hayaki UchinoToshio Fukuoka
Jan 25, 2018·Medicine, Science, and the Law·Roger W Byard
Mar 19, 2008·Pediatric Emergency Care·Mark R ZonfrilloSusan A Walsh
Nov 8, 2017·Pediatric Emergency Care·Erin F HoehnSelena L Hariharan
Dec 10, 2013·JAAPA : Official Journal of the American Academy of Physician Assistants·JoAnne MoraMartha Ballesteros
May 5, 2017·Case Reports in Pediatrics·Jillian N PrintzMichele Carr
Aug 4, 2018·The Journal of the American Osteopathic Association·Syna DaudfarJohn T Pham
Jul 4, 2021·Emergency Medicine Clinics of North America·Nichole McCollum, Sabrina Guse

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