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Penetrating craniofacial injuries in children with wooden and metal chopsticks.

Authors
Park, SH; Cho, KH; Shin, YS; Kim, SH; Ahn, YH; Cho, KG; Yoon, SH
Citation
Pediatric neurosurgery, 42(3):138-146, 2006
Journal Title
Pediatric neurosurgery
ISSN
1016-22911423-0305
Abstract
Penetrating craniofacial injuries with chopsticks in children are peculiar accidents in the Oriental culture. All 10 cases previously reported were caused by wooden chopsticks that required surgical operations. However, there are no reported injuries with metal chopsticks in the past literature which should have been as common as that of wooden chopstick injuries in Asia. We evaluated the difference of injury patterns and clinical observations between wooden and metal chopstick injuries. We reviewed 6 treated children with penetrating craniofacial injuries from chopsticks: one wooden and five metal chopsticks. One child who had penetration through the nasal cavity presented with temporary rhinorrhea, another with mild hemiparesis, and one child with temporary upward gaze limitation of the left eye. Radiological examination revealed 1 patient with epidural hemorrhage, 1 patient with minimal subdural hemorrhage, and 4 with intracerebral hemorrhage that were fortunately too small to receive surgery. We performed surgical procedure only for a child who had a wooden chopstick that had impacted into the temporal cortex. We followed up all 6 children for more than 1 year, and found that all had fully recovered to near-normal neurological status. We observed that penetrating craniofacial injuries with metal chopsticks rarely require surgical intervention and usually results in good outcome because the resultant wound is usually small without broken fragments compared to injuries with wooden chopsticks.
MeSH terms
AdolescentChildChild, PreschoolCraniotomyCross-Sectional StudiesEye Injuries, Penetrating/epidemiologyEye Injuries, Penetrating/etiologyEye Injuries, Penetrating/surgeryFacial Injuries/epidemiologyFacial Injuries/etiologyFacial Injuries/surgery*FemaleForeign Bodies/epidemiologyForeign Bodies/etiologyForeign Bodies/surgeryHead Injuries, Penetrating/epidemiologyHead Injuries, Penetrating/etiologyHead Injuries, Penetrating/surgery*HumansImage Processing, Computer-AssistedImaging, Three-DimensionalIncidenceInfantKoreaMagnetic Resonance ImagingMaleMetals*Orbit/injuriesOrbit/pathologySkull Fractures/epidemiologySkull Fractures/etiologySkull Fractures/surgery*Tomography, X-Ray ComputedWood*Wounds, Penetrating/epidemiologyWounds, Penetrating/etiologyWounds, Penetrating/surgery*
DOI
10.1159/000091855
PMID
16636613
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
AJOU Authors
조기홍신용삼김세혁안영환조경기윤수한
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