Unusual facial perforation by less lethal munition: Case report

Detalhes bibliográficos
Autor(a) principal: Sampaio Junior, José Maria Menezes
Data de Publicação: 2021
Outros Autores: Gondim, Ricardo Franklin, Mello, Manoel de Jesus Rodrigues, Avelar, Rafael Linard, Aguiar, Jayara Ferreira de, Ferreira Filho, Josfran da Silva, Silveira, Guilherme Sabóia, Marques, João Antônio Pinheiro
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/15168
Resumo: Rubber bullets are considered “non-lethal weapons”, however, when they reach the facial region they can leave serious sequelae or even cause death. Such projectiles can reach the facial region, causing bone destruction, neurological and vascular damage, as well as, favoring the development of diseases. The present study aims to report a case of a 32-year-old male patient affected by a rubber bullet-compatible projectile at the time of a police dispersion. The patient attended the emergency service of the Instituto Doutor José Frota - CE, reinforced eyelid ptosis, ecchymosis and periorbital edema of both eyes, being evidenced in the left eye and a cut-contusion wound in the medial corner of the orbit. In the preoperative computed tomography, it was observed: foreign body housed in the blood base - inside the sphenoid sinus. The diagnosis and treatment decision was made by a multidisciplinary team. The patient was submitted to a surgical center under general anesthesia to remove the projectile and use LPR-F. The patient progresses with 03 (three) months of postoperative follow-up, with no signs of infection or outflow of CSF fistula. A search was performed in the literature for articles published in the years between 1975-2017 in English. The penetrating losses caused by a rubber bullet in the face must be treated by a multidisciplinary team in association with complementary exams such as a computed tomography to diagnose and define the treatment with a better prognosis.
id UNIFEI_3b0a7595b41827c6bb85794db5bcb796
oai_identifier_str oai:ojs.pkp.sfu.ca:article/15168
network_acronym_str UNIFEI
network_name_str Research, Society and Development
repository_id_str
spelling Unusual facial perforation by less lethal munition: Case reportPerforación facial inusual com bala de goma: Reporte de casoPerfuração facial incomum por projétil de borracha: Relato de casoOrbitHead InjuriesRubber bullet.OrbitaLesiones penetrantes en la cabezaBala de goma.ÓrbitaTraumatismo craniano penetranteBala de borracha.Rubber bullets are considered “non-lethal weapons”, however, when they reach the facial region they can leave serious sequelae or even cause death. Such projectiles can reach the facial region, causing bone destruction, neurological and vascular damage, as well as, favoring the development of diseases. The present study aims to report a case of a 32-year-old male patient affected by a rubber bullet-compatible projectile at the time of a police dispersion. The patient attended the emergency service of the Instituto Doutor José Frota - CE, reinforced eyelid ptosis, ecchymosis and periorbital edema of both eyes, being evidenced in the left eye and a cut-contusion wound in the medial corner of the orbit. In the preoperative computed tomography, it was observed: foreign body housed in the blood base - inside the sphenoid sinus. The diagnosis and treatment decision was made by a multidisciplinary team. The patient was submitted to a surgical center under general anesthesia to remove the projectile and use LPR-F. The patient progresses with 03 (three) months of postoperative follow-up, with no signs of infection or outflow of CSF fistula. A search was performed in the literature for articles published in the years between 1975-2017 in English. The penetrating losses caused by a rubber bullet in the face must be treated by a multidisciplinary team in association with complementary exams such as a computed tomography to diagnose and define the treatment with a better prognosis.Introducción: Las balas de goma se consideran “armas no letales”, sin embargo, cuando llegan a la región facial, pueden dejar graves secuelas o incluso causar la muerte. Dichos proyectiles pueden llegar a la región facial, provocando destrucción ósea, daño neurológico y vascular, además de favorecer el desarrollo de infecciones. El presente estudio tiene como objetivo reportar el caso de un paciente masculino de 32 años, afectado por un proyectil compatible con una bala de goma en el momento de una dispersión policial. Caso clínico: El paciente acude al servicio de urgencias con ptosis palpebral, equimosis y edema periorbitario en ambos ojos, siendo evidente en el ojo izquierdo y una herida por corte-contusión en el ángulo medial de la órbita. En la tomografía computarizada preoperatoria, se observó: cuerpo extraño alojado en la base del cráneo - dentro del seno esfenoidal. El paciente fue sometido a un centro quirúrgico bajo anestesia general para retirar el proyectil y utilizar I-PRF para cerrar una probable fístula de LCR. Discusión: Las lesiones penetrantes provocadas por una bala de goma en la cara deben ser tratadas por un equipo multidisciplinario en asociación con exámenes complementarios como la tomografía computarizada para diagnosticar y definir el mejor tratamiento. Conclusión: la paciente evoluciona con 03 (tres) meses de seguimiento postoperatorio, sin signos de infección ni evidencia de fístula de LCR.Introdução: As balas de borracha são consideradas “armas não-letais”, porém, quando atingem região facial podem deixar sequelas graves ou até causar morte. Tais projéteis podem alcançar a região facial, causando destruições ósseas, danos neurológicos e vasculares, bem como, favorecer o desenvolvimento de infecções. O presente estudo tem objetivo de relatar um caso de um paciente do sexo masculino, 32 anos, acometido por um projétil compatível com bala de borracha no momento de uma dispersão policial. Relato de caso: O paciente compareceu ao serviço de emergência apresentando ptose palpebral, equimose e edema periorbitário de ambos os olhos, sendo evidenciado no olho esquerdo e ferimento corto-contuso no canto medial da órbita. Na tomografia computadorizada pré-operatória, observou-se: corpo estranho alojado na base do crânio – dentro do seio esfenoidal. O paciente foi submetido a centro cirúrgico sob anestesia geral para remoção do projétil e uso de I-PRF para fechamento de provável fistula liquórica. Discussão:  As lesões penetrantes ocasionadas por bala de borracha na face devem ser tratadas por uma equipe multidisciplinar em associação com exames complementares como a tomografia computadorizada para diagnosticar e definir o melhor tratamento. Conclusão: O paciente evolui com 03 (três) meses de acompanhamento pós-operatório, sem sinais de infecção ou evidencia de fístula liquórica.Research, Society and Development2021-05-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1516810.33448/rsd-v10i5.15168Research, Society and Development; Vol. 10 No. 5; e43910515168Research, Society and Development; Vol. 10 Núm. 5; e43910515168Research, Society and Development; v. 10 n. 5; e439105151682525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/15168/13578Copyright (c) 2021 José Maria Menezes Sampaio Junior; Ricardo Franklin Gondim; Manoel de Jesus Rodrigues Mello; Rafael Linard Avelar; Jayara Ferreira de Aguiar; Josfran da Silva Ferreira Filho; Guilherme Sabóia Silveira; João Antônio Pinheiro Marqueshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSampaio Junior, José Maria Menezes Gondim, Ricardo Franklin Mello, Manoel de Jesus Rodrigues Avelar, Rafael Linard Aguiar, Jayara Ferreira de Ferreira Filho, Josfran da Silva Silveira, Guilherme Sabóia Marques, João Antônio Pinheiro 2021-05-17T18:20:49Zoai:ojs.pkp.sfu.ca:article/15168Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:36:03.639742Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Unusual facial perforation by less lethal munition: Case report
Perforación facial inusual com bala de goma: Reporte de caso
Perfuração facial incomum por projétil de borracha: Relato de caso
title Unusual facial perforation by less lethal munition: Case report
spellingShingle Unusual facial perforation by less lethal munition: Case report
Sampaio Junior, José Maria Menezes
Orbit
Head Injuries
Rubber bullet.
Orbita
Lesiones penetrantes en la cabeza
Bala de goma.
Órbita
Traumatismo craniano penetrante
Bala de borracha.
title_short Unusual facial perforation by less lethal munition: Case report
title_full Unusual facial perforation by less lethal munition: Case report
title_fullStr Unusual facial perforation by less lethal munition: Case report
title_full_unstemmed Unusual facial perforation by less lethal munition: Case report
title_sort Unusual facial perforation by less lethal munition: Case report
author Sampaio Junior, José Maria Menezes
author_facet Sampaio Junior, José Maria Menezes
Gondim, Ricardo Franklin
Mello, Manoel de Jesus Rodrigues
Avelar, Rafael Linard
Aguiar, Jayara Ferreira de
Ferreira Filho, Josfran da Silva
Silveira, Guilherme Sabóia
Marques, João Antônio Pinheiro
author_role author
author2 Gondim, Ricardo Franklin
Mello, Manoel de Jesus Rodrigues
Avelar, Rafael Linard
Aguiar, Jayara Ferreira de
Ferreira Filho, Josfran da Silva
Silveira, Guilherme Sabóia
Marques, João Antônio Pinheiro
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Sampaio Junior, José Maria Menezes
Gondim, Ricardo Franklin
Mello, Manoel de Jesus Rodrigues
Avelar, Rafael Linard
Aguiar, Jayara Ferreira de
Ferreira Filho, Josfran da Silva
Silveira, Guilherme Sabóia
Marques, João Antônio Pinheiro
dc.subject.por.fl_str_mv Orbit
Head Injuries
Rubber bullet.
Orbita
Lesiones penetrantes en la cabeza
Bala de goma.
Órbita
Traumatismo craniano penetrante
Bala de borracha.
topic Orbit
Head Injuries
Rubber bullet.
Orbita
Lesiones penetrantes en la cabeza
Bala de goma.
Órbita
Traumatismo craniano penetrante
Bala de borracha.
description Rubber bullets are considered “non-lethal weapons”, however, when they reach the facial region they can leave serious sequelae or even cause death. Such projectiles can reach the facial region, causing bone destruction, neurological and vascular damage, as well as, favoring the development of diseases. The present study aims to report a case of a 32-year-old male patient affected by a rubber bullet-compatible projectile at the time of a police dispersion. The patient attended the emergency service of the Instituto Doutor José Frota - CE, reinforced eyelid ptosis, ecchymosis and periorbital edema of both eyes, being evidenced in the left eye and a cut-contusion wound in the medial corner of the orbit. In the preoperative computed tomography, it was observed: foreign body housed in the blood base - inside the sphenoid sinus. The diagnosis and treatment decision was made by a multidisciplinary team. The patient was submitted to a surgical center under general anesthesia to remove the projectile and use LPR-F. The patient progresses with 03 (three) months of postoperative follow-up, with no signs of infection or outflow of CSF fistula. A search was performed in the literature for articles published in the years between 1975-2017 in English. The penetrating losses caused by a rubber bullet in the face must be treated by a multidisciplinary team in association with complementary exams such as a computed tomography to diagnose and define the treatment with a better prognosis.
publishDate 2021
dc.date.none.fl_str_mv 2021-05-12
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/15168
10.33448/rsd-v10i5.15168
url https://rsdjournal.org/index.php/rsd/article/view/15168
identifier_str_mv 10.33448/rsd-v10i5.15168
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/15168/13578
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 5; e43910515168
Research, Society and Development; Vol. 10 Núm. 5; e43910515168
Research, Society and Development; v. 10 n. 5; e43910515168
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
_version_ 1797052676853202944