PMC8019616_01
Penetrating wound on left frontotemporal and preauricular region.
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A 43-year-old male sustained an extensive penetrating injury to his left frontotemporal and preauricular region:from a broken grass-cutting blade:with an incompressible pulsating lesion (Figure 1).
The transient left external carotid artery occlusion. (A) External carotid artery; (B) internal carotid artery; (C) common carotid artery.
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Transient left ECA occlusion by application of a Rumel tourniquet was performed (Figure 2).
Technique of bleeding control. (A) External carotid artery occlusion; (B) internal carotid artery; (C) balloon tamponade; (D) common carotid artery.
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The penetrating tract at the preauricular region was tamponaded by balloon (Figure 3).
Computed tomography of a metallic foreign body with multiple left side skull and facial bone fracture.
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The study revealed a metallic foreign body with multiple left side skull fractures with multiple comminuted fractures involving the zygomatic process of the left temporal bone, lateral wall of left orbit, left orbit apex, left superior orbital fissure and left optic canal, squamous part of left temporal bone, wall of sphenoid and ethmoid sinuses, and the greater and lesser wing of the sphenoid bone (Figure 4).
Computed tomography scan showing the presence of subarachnoid hemorrhage along left Sylvian fissure and acute subdural hemorrhage along frontotemporal convexity with brain swelling.
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There was acute subarachnoid hemorrhage along the left Sylvian fissure and an acute subdural hemorrhage along the frontotemporal convexity with brain swelling (Figure 5).
Computed tomography angiography shows no visible intracranial vascular injury.
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There was no evidence of intracranial arterial injury (Figure 6).