@article{MAKHILLRJMS202317229083, title = {Unilateral Impalement Injury with Iron Bar over Face: Report of a Rare Case}, journal = {Research Journal of Medical Sciences}, volume = {17}, number = {2}, pages = {83-86}, year = {2023}, issn = {1815-9346}, doi = {10.59218\makrjms.2023.83.86}, url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=10.59218\makrjms.2023.83.86}, author = {Ravi,Ruchita,Vinay and}, keywords = {Impalement, iron bar, zygomatic arch, penetrating injury}, abstract = {
Impalement injury occurs when an object penetrates hard or soft tissue and remains within the tissue. Impalement injury is one type of penetrating injury. It is caused due to fixed and elongated objects, which penetrates the body cavity. This is usually a low velocity trauma. This type of injuries can lead to cranial damage, motor and sensory loss and loss of functions. It is associated with higher mortality rate. It is associated with cranial infection and conditions like meningitis. Treatment requires immediate attention with removal of the foreign body. A 48 years old, male reported to emergency department with impalement injury due to iron bar over left side of face. Computed tomogram demonstrated no cranial injury with comminuted zygomatic arch fracture. Removal of foreign body, followed by surgical debridement, open reduction and internal fixation of zygomatic arch was performed using titanium plates and screw. Patient recovered completely and healing was uneventful. Impalement injury can be treated successfully with immediate attention and adequate treatment plan. Neurological consultation is mandatory in any case of neurological injury. Retrieval of foreign body as soon as possible remains the first line of treatment. Parenteral antibiotics plays important role to prevent sepsis and good recovery of the patient.
} }