Transorbital subfrontal arrowhead injury: Experience in a low-resource setting.

Surgical neurology international Pub Date : 2024-10-25 eCollection Date: 2024-01-01 DOI:10.25259/SNI_618_2024
Emmanuel Garba Sunday, Temitope Mariam Gbadegesin, Daniel Wycliffe, Bala Nasir Muhammad
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Abstract

Background: With the insurgency and farmer-herder crisis in northeast Nigeria, arrow injuries with various fatalities have been on the increase. Practicing in a low-resource setting with no functional computed tomography (CT) scan necessitates utmost dependence on plain X-rays for decision-making in patient care.

Case description: We present our experience with a patient who presented in our facility with a right transorbital subfrontal arrow injury. The patient had retrograde extraction of the arrow based on plain X-ray findings with no sequelae.

Conclusion: We highlighted the role of X-ray in the management of arrow injuries, although bone window CT without or with angiography is the gold standard of imaging modalities in the management of patients with arrow injuries to the head.

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眶下额箭伤:低资源环境下的经验。
背景:随着尼日利亚东北部的叛乱和农民牧民危机,造成各种死亡的箭伤不断增加。由于在资源匮乏的环境中执业,没有功能性计算机断层扫描(CT),因此在患者护理决策中必须高度依赖普通 X 光片:我们在此介绍一名右侧经眶下额箭伤患者的经历。根据 X 光平片检查结果,患者逆行拔出了箭头,没有留下后遗症:我们强调了 X 光在处理箭伤中的作用,尽管骨窗 CT 无血管造影或有血管造影是处理头部箭伤患者的金标准成像模式。
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