著者

仲井 槙吾 釜本 宗史 高木 純一郎 宮田 勝

出版者

日本口腔顎顔面外傷学会

雑誌

口腔顎顔面外傷 : 日本口腔顎顔面外傷学会誌 (ISSN:13479903)

巻号頁・発行日

vol.20, no.2, pp.27-32, 2021 (Released:2021-11-30)

参考文献数

37

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Oral penetrating traumas with a toothbrush are often encountered in clinical oral surgery. Most cases are minor injuries, but some require surgery or hospitalization due to complications. We report an overview of three cases of oral penetrating injuries caused by toothbrushes. The first case was a 4-year-old girl whose toothbrush had penetrated her palatoglossus muscle, leading into her parapharyngeal space. The second case was a 2-year-old boy who was transported by ambulance with a toothbrush stuck in the buccal mucosa. In the third case, the buccal fat pad of a 1-year 6-months-old boy was incarcerated after penetration of the buccal mucosa with a toothbrush. After admission, he needed a reduction of the buccal fat pad under general anesthesia. The clinical symptoms of an oropharyngeal penetrating injury vary depending on the condition of the toothbrush that caused the injury, the site of the injury, and the degree of injury. Even if the wound is small, it can cause severe damage to deep tissues. Therefore, it is necessary to make an accurate initial diagnosis, predict the subsequent risks, and decide on appropriate treatment. Additionally, literature reviews have shown several characteristics of these injuries and the risk of serious complications.

著者

前田 圭吾 平井 雄三 高地 いづみ 山本 信祐 谷池 直樹 竹信 俊彦

出版者

日本口腔顎顔面外傷学会

雑誌

口腔顎顔面外傷 : 日本口腔顎顔面外傷学会誌 (ISSN:13479903)

巻号頁・発行日

vol.17, no.2, pp.64-68, 2018 (Released:2019-03-05)

参考文献数

31

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Recently, the frequency of maxillofacial injuries has increased and the causes have diversified. Blast injuries due to explosions can be life-threatening. We report a case of blast injury requiring emergency surgery for a mandibular fracture with active bleeding. A 59-year-old woman presented with an injury to the right face with hemorrhage, caused by a gas canister explosion at her home. She was transferred to the Emergency and Critical Care Center of our hospital. Her vital signs were normal and she was alert with a Glasgow Coma Scale score of 15; however, a penetrating wound of the right buccal region and active bleeding in the oral cavity were found. Contrast computed tomography revealed a right mandibular fracture and extravasation around the fracture region. There was a risk of airway obstruction from active oral cavity bleeding; therefore, we performed urgent open reduction and internal fixation for hemostasis. She received an intraoperative blood transfusion and hemostasis was achieved with good reduction and fixation. Fortunately, she had no other injuries and her clinical course was good. It is crucial to understand the unique mechanisms underlying a blast injury, and to perform appropriate clinical evaluation and treatment because of the possibility of head and neck injury, damaged neck vessels, and airway obstruction.