Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case report
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.1186/s13256-017-1361-9 |
Resumo: | Background: Open injuries to the face involving the external carotid artery are uncommon. These injuries are normally associated with laceration of the facial nerve because this nerve is more superficial than the external carotid artery. Hence, external carotid artery lesions are usually associated with facial nerve dysfunction. We present an unusual case report in which the patient had an injury to this artery with no facial nerve compromise. Case presentation: A 25-year-old Portuguese man sustained a stab wound injury to his right preauricular region with a broken glass. Immediate profuse bleeding ensued. Provisory tamponade of the wound was achieved at the place of aggression by two off-duty doctors. He was initially transferred to a district hospital, where a large arterial bleeding was observed and a temporary compressive dressing was applied. Subsequently, the patient was transferred to a tertiary hospital. At admission in the emergency room, he presented a pulsating lesion in the right preauricular region and slight weakness in the territory of the inferior buccal branch of the facial nerve. The physical examination suggested an arterial lesion superficial to the facial nerve. However, in the operating theater, a section of the posterior and lateral flanks of the external carotid artery inside the parotid gland was identified. No lesion of the facial nerve was observed, and the external carotid artery was repaired. To better understand the anatomical rationale of this uncommon clinical case, we dissected the preauricular region of six cadavers previously injected with colored latex solutions in the vascular system. A small triangular space between the two main branches of division of the facial nerve in which the external carotid artery was not covered by the facial nerve was observed bilaterally in all cases. Conclusions: This clinical case illustrates that, in a preauricular wound, the external carotid artery can be injured without facial nerve damage. However, no similar description was found in the reviewed literature, which suggests that this must be a very rare occurrence. According to the dissection study performed, this is due to the existence of a triangular space between the cervicofacial and temporofacial nerve trunks in which the external carotid artery is not covered by the facial nerve or its branches. © 2017 The Author(s). |
id |
RCAP_64b39d9011da5239f31370ba459dc207 |
---|---|
oai_identifier_str |
oai:run.unl.pt:10362/24546 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case reportAnatomyCadaverCarotid arteryCase reportFacial nerveStab woundTraumaWoundglassadultArticlebleedingcadavercarotid artery injurycase reportexternal carotid arteryfacial nervehumanlacerationmalephysical examinationpreauricular stab injurypriority journalrare diseasestab woundwound careSDG 3 - Good Health and Well-beingBackground: Open injuries to the face involving the external carotid artery are uncommon. These injuries are normally associated with laceration of the facial nerve because this nerve is more superficial than the external carotid artery. Hence, external carotid artery lesions are usually associated with facial nerve dysfunction. We present an unusual case report in which the patient had an injury to this artery with no facial nerve compromise. Case presentation: A 25-year-old Portuguese man sustained a stab wound injury to his right preauricular region with a broken glass. Immediate profuse bleeding ensued. Provisory tamponade of the wound was achieved at the place of aggression by two off-duty doctors. He was initially transferred to a district hospital, where a large arterial bleeding was observed and a temporary compressive dressing was applied. Subsequently, the patient was transferred to a tertiary hospital. At admission in the emergency room, he presented a pulsating lesion in the right preauricular region and slight weakness in the territory of the inferior buccal branch of the facial nerve. The physical examination suggested an arterial lesion superficial to the facial nerve. However, in the operating theater, a section of the posterior and lateral flanks of the external carotid artery inside the parotid gland was identified. No lesion of the facial nerve was observed, and the external carotid artery was repaired. To better understand the anatomical rationale of this uncommon clinical case, we dissected the preauricular region of six cadavers previously injected with colored latex solutions in the vascular system. A small triangular space between the two main branches of division of the facial nerve in which the external carotid artery was not covered by the facial nerve was observed bilaterally in all cases. Conclusions: This clinical case illustrates that, in a preauricular wound, the external carotid artery can be injured without facial nerve damage. However, no similar description was found in the reviewed literature, which suggests that this must be a very rare occurrence. According to the dissection study performed, this is due to the existence of a triangular space between the cervicofacial and temporofacial nerve trunks in which the external carotid artery is not covered by the facial nerve or its branches. © 2017 The Author(s).NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNCasal, D.Pelliccia, G.Pais, D.Carrola-Gomes, D.Angélica-Almeida, M.Videira-Castro, J.Goyri-O'Neill, J.2017-10-24T22:00:19Z2017-07-292017-07-29T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article7application/pdfhttps://doi.org/10.1186/s13256-017-1361-9eng1752-1947PURE: 3229341https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026370706&doi=10.1186%2fs13256-017-1361-9&partnerID=40&md5=88fa1f1d629d466057ff8a4c6eaf3ae1https://doi.org/10.1186/s13256-017-1361-9info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:12:43Zoai:run.unl.pt:10362/24546Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:28:04.305603Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case report |
title |
Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case report |
spellingShingle |
Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case report Casal, D. Anatomy Cadaver Carotid artery Case report Facial nerve Stab wound Trauma Wound glass adult Article bleeding cadaver carotid artery injury case report external carotid artery facial nerve human laceration male physical examination preauricular stab injury priority journal rare disease stab wound wound care SDG 3 - Good Health and Well-being |
title_short |
Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case report |
title_full |
Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case report |
title_fullStr |
Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case report |
title_full_unstemmed |
Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case report |
title_sort |
Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: A case report |
author |
Casal, D. |
author_facet |
Casal, D. Pelliccia, G. Pais, D. Carrola-Gomes, D. Angélica-Almeida, M. Videira-Castro, J. Goyri-O'Neill, J. |
author_role |
author |
author2 |
Pelliccia, G. Pais, D. Carrola-Gomes, D. Angélica-Almeida, M. Videira-Castro, J. Goyri-O'Neill, J. |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Casal, D. Pelliccia, G. Pais, D. Carrola-Gomes, D. Angélica-Almeida, M. Videira-Castro, J. Goyri-O'Neill, J. |
dc.subject.por.fl_str_mv |
Anatomy Cadaver Carotid artery Case report Facial nerve Stab wound Trauma Wound glass adult Article bleeding cadaver carotid artery injury case report external carotid artery facial nerve human laceration male physical examination preauricular stab injury priority journal rare disease stab wound wound care SDG 3 - Good Health and Well-being |
topic |
Anatomy Cadaver Carotid artery Case report Facial nerve Stab wound Trauma Wound glass adult Article bleeding cadaver carotid artery injury case report external carotid artery facial nerve human laceration male physical examination preauricular stab injury priority journal rare disease stab wound wound care SDG 3 - Good Health and Well-being |
description |
Background: Open injuries to the face involving the external carotid artery are uncommon. These injuries are normally associated with laceration of the facial nerve because this nerve is more superficial than the external carotid artery. Hence, external carotid artery lesions are usually associated with facial nerve dysfunction. We present an unusual case report in which the patient had an injury to this artery with no facial nerve compromise. Case presentation: A 25-year-old Portuguese man sustained a stab wound injury to his right preauricular region with a broken glass. Immediate profuse bleeding ensued. Provisory tamponade of the wound was achieved at the place of aggression by two off-duty doctors. He was initially transferred to a district hospital, where a large arterial bleeding was observed and a temporary compressive dressing was applied. Subsequently, the patient was transferred to a tertiary hospital. At admission in the emergency room, he presented a pulsating lesion in the right preauricular region and slight weakness in the territory of the inferior buccal branch of the facial nerve. The physical examination suggested an arterial lesion superficial to the facial nerve. However, in the operating theater, a section of the posterior and lateral flanks of the external carotid artery inside the parotid gland was identified. No lesion of the facial nerve was observed, and the external carotid artery was repaired. To better understand the anatomical rationale of this uncommon clinical case, we dissected the preauricular region of six cadavers previously injected with colored latex solutions in the vascular system. A small triangular space between the two main branches of division of the facial nerve in which the external carotid artery was not covered by the facial nerve was observed bilaterally in all cases. Conclusions: This clinical case illustrates that, in a preauricular wound, the external carotid artery can be injured without facial nerve damage. However, no similar description was found in the reviewed literature, which suggests that this must be a very rare occurrence. According to the dissection study performed, this is due to the existence of a triangular space between the cervicofacial and temporofacial nerve trunks in which the external carotid artery is not covered by the facial nerve or its branches. © 2017 The Author(s). |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-24T22:00:19Z 2017-07-29 2017-07-29T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.1186/s13256-017-1361-9 |
url |
https://doi.org/10.1186/s13256-017-1361-9 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1752-1947 PURE: 3229341 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026370706&doi=10.1186%2fs13256-017-1361-9&partnerID=40&md5=88fa1f1d629d466057ff8a4c6eaf3ae1 https://doi.org/10.1186/s13256-017-1361-9 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
7 application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799137907244531712 |