RESUMEN
Penetrating head injury is a serious open cranial injury. In civilians, it is often caused by non-missile, low velocity flying objects that penetrate the skull through a weak cranial structure, forming intracranial foreign bodies. The intracranial foreign body can be displaced due to its special quality, shape, and location. In this paper, we report a rare case of right-to-left displacement of an airgun lead bullet after transorbital entry into the skull complicated by posttraumatic epilepsy, as a reminder to colleagues that intracranial metal foreign bodies maybe displaced intraoperatively. In addition, we have found that the presence of intracranial metallic foreign bodies may be a factor for the posttraumatic epilepsy, and their timely removal appears to be beneficial for epilepsy control.
RESUMEN
Immediate breast reconstruction can reduce the psychological trauma of breast loss while preventing patients from undergoing secondary surgery.However,oncologists must ensure tumor safety when choosing immediate breast reconstruction.Careful preoperative evaluation and adequate intraoperative glandectomy are the prerequisites to ensure oncologic safety.The National Comprehensive Cancer Network(NCCN) guidelines clearly states that inflammatory breast cancer is a contraindication to immediate breast reconstruction.In addition,for patients who plan to receive postoperative radiotherapy,immediate breast reconstruction should be carefully selected.Despite the lack of high-level evidence-based evidence,available data show that immediate breast reconstruction does not affect postoperative adjuvant chemotherapy.It is safe and reliable for some patients to choose the subcutaneous gland resection that retains nipples and areola.Lymphoma after prosthesis implantation has been reported,but the incidence is low.Therefore,breast reconstruction immediately after mastectomy is a safe and reliable surgical procedure in suitable patients with breast cancer.