Subject(s)
Eye Foreign Bodies , Orbit/injuries , Skull/injuries , Adolescent , Adult , Blindness/etiology , Child , Eye Foreign Bodies/complications , Eye Foreign Bodies/diagnosis , Eye Foreign Bodies/diagnostic imaging , Eye Foreign Bodies/surgery , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Tomography, X-Ray Computed , Visual Acuity , WoodABSTRACT
The review presents the stages of the development and use of virtual three-dimensional CT images. A possibility to get a 3D-based real skull model and an implant for reconstruction using a 3D-prototype technique (stereolithography) is a new step to the development of reconstructive surgery.
Subject(s)
Image Processing, Computer-Assisted/methods , Imaging, Three-Dimensional , Plastic Surgery Procedures/methods , Skull/surgery , Algorithms , Humans , Plastic Surgery Procedures/instrumentation , Tomography, X-Ray Computed/instrumentation , Tomography, X-Ray Computed/methods , TransplantsABSTRACT
The rare case of a large wooden foreign body impaled in the cranio-orbital region, and its late diagnosis and successful removal, is presented. A 26-year-old man was admitted to a regional hospital after suffering a severe penetrating craniocerebral injury from a motorcycle accident. Two months after the accident, computed tomographic examination at Burdenko Neurosurgical Institute revealed a large foreign body located in the cranio-orbital region and penetrating the right temporal lobe, with surrounding abscess development. Radiological examination, including three-dimensional computed tomography, enables one to choose the optimal surgical approach and to remove the foreign body, thereby avoiding purulent, inflammatory complications.
Subject(s)
Brain Injuries/surgery , Foreign Bodies , Temporal Lobe , Wounds, Penetrating , Accidents, Traffic , Adult , Brain Abscess/diagnostic imaging , Brain Abscess/surgery , Brain Injuries/diagnostic imaging , Brain Injuries/etiology , Foreign Bodies/diagnostic imaging , Foreign Bodies/surgery , Humans , Male , Motorcycles , Optic Nerve Injuries , Orbit , Tomography, X-Ray Computed , Wood , Wounds, Penetrating/complications , Wounds, Penetrating/diagnostic imaging , Wounds, Penetrating/surgeryABSTRACT
Foreign body removal in blind, penetrating craniocerebral injuries, especially those involving craniobasal localization, could entail additional brain trauma risk. Under such conditions one can use surgical approaches for tumor removal or clipping of intracranial aneurysms. In this report, we present a case of blind, penetrating craniofacial injury in which a supraorbital-pterion approach for foreign body removal was used. Craniography, carotid angiography, and computed tomography data, including three-dimensional imaging, were taken into consideration while planning the operation.
