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首页> 外文期刊>Craniomaxillofacial Trauma & Reconstruction >Penetrating Craniomaxillofacial Injury Caused by a Pneumatic Nail Gun
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Penetrating Craniomaxillofacial Injury Caused by a Pneumatic Nail Gun

机译：穿透气动指甲枪引起的颅骨损伤

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摘要

Craniomaxillofacial injuries can be complex, requiring a multidisciplinary approach. The primary survey is always the first step in trauma management prior to proceeding with further evaluation and treatment. A 26-year-old man presented with a penetrating nail gun injury through the oral and nasal cavities. He did not present in extremis but required elective endotracheal intubation for intraoperative assessment and treatment. Airway management was enhanced by the use of lingual nerve and inferior alveolar nerve blocks via the Vazirani-Akinosi technique to maintain spontaneous respiration while the tongue was distracted from the palate. The nail was removed and rapid sequence induction initiated for orotracheal intubation. Local nerve blocks can be an effective tool in the armamentarium of the craniomaxillofacial trauma surgeon in managing blunt and penetrating injuries. We demonstrate its utility in airway management when a penetrating foreign body in the upper airway precludes orotracheal or nasotracheal intubation.
机译：颅骨损伤可能是复杂的，需要多学科方法。在进行进一步评估和治疗之前，主要调查始终是创伤管理的第一步。一名26岁的男子通过口腔和鼻腔带来了穿透钉枪伤。他没有出现极端，但需要选择性的内部气管插管，用于术中评估和治疗。通过使用vazirani-akinosi技术使用舌神经和下牙槽神经块来增强气道管理，以保持自发呼吸，而舌头分散于口感。钉子被移除并开始对orotracheal插管发起的快速序列感应。局部神经块可以是颅骨毛细血管外科医生的武器植物中的有效工具，用于管理钝器和渗透伤害。我们在上呼吸道中的渗透异物排除Orotracheal或鼻腔插管时，我们展示了它的效用。

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