Impaled head.

Lancet

Department of Cranio-Maxillofacial and Oral Surgery, University Hospital of Innsbruck, Innsbruck, Austria.

Published: January 2010

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http://dx.doi.org/10.1016/S0140-6736(09)60294-4DOI Listing

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We present the case of a child impaled in the face by a meat thermometer who subsequently suffered a significant complication due to the administration of hydrogen peroxide to the wound. The soft tissues of the face rapidly expanded and blanched, the child experienced mental status changes, and imaging revealed massive subcutaneous emphysema, pneumomediastinum, and pneumo-orbit. Herein we review the literature on this rare complication and provide photodocumentation in the hopes that other practitioners, patients, and parents avoid administering hydrogen peroxide into or near any penetrating injury.

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  • Impalement cases in forensic science are quite rare, especially when they involve the head, necessitating careful analysis by forensic pathologists.
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Foreign bodies of the aero-digestive tract are commonly seen emergencies in ENT practice. Young children often present with accidental ingestion of foreign bodies like coins and battery cells. However penetrative foreign bodies of the oral cavity and the aerodigestive tract are relatively rare.

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