オトガイ下部から口底に貫通した樹枝による穿通性外傷の1例

• Published in: 日本口腔外科学会雑誌 Vol. 59; no. 9; pp. 622 - 626
• Main Authors: 中谷, 現, 根来, 健二, 和田, 健, 藤田, 茂之
• Format: Journal Article
• Language: Japanese
• Published: 社団法人 日本口腔外科学会 20.09.2013
• Subjects: 口底; 樹枝; 穿通性外傷
• ISSN: 0021-5163; 2186-1579
• DOI: 10.5794/jjoms.59.622

We report the rare case of a 47-year-old man who received a penetrating stab wound caused by the branch of a tree that entered the floor of the mouth from the submental region. He climbed a tree and was pruning the branches. He fell down from the branch to the ground, and a branch penetrated his oral cavity. He was urgently transported to our hospital by an ambulance. He was alert, but could not speak because of the branch. His general condition was good, and there was a little bleeding. Emergency computed tomography was performed. On the same day, we performed an emergency operation under general anesthesia. We removed the branch, and the stab wound was sutured and drained. The branch was 17 cm in length and 3 cm in diameter. There was no damage to other structures including the salivary ducts. The postoperative course was good, and he was discharged 14 days after surgery. Preoperative computed tomography was effective for defining the positional relationship between a wooden foreign body and important organs.