Treatment of scattered glass foreign bodies in both the superficial and deep neck: A case report

• Published in: Auris, nasus, larynx nasus, larynx, 2005-09, Vol.32 (3), p.295-299
• Main Authors: Narita, Norihiko, Yamada, Takechiyo, Imoto, Yoshimasa, Ogi, Kazuhiro, Sakashita, Masabumi, Ito, Yumi, Kouraba, Sachio, Yasuta, Masato, Tsuzuki, Hideaki, Fujieda, Shigeharu
• Format: Article
• Language: English
• Subjects: Accidents, Traffic; Adolescent; Edema - etiology; Face; Foreign Bodies - diagnosis; Foreign Bodies - diagnostic imaging; Foreign Bodies - surgery; Glass; Glass foreign body; Head and neck; Humans; Keloid; Keloid - etiology; Keloid - surgery; Magnetic Resonance Imaging; Male; Neck - diagnostic imaging; Neck - surgery; Reconstructive Surgical Procedures; Reoperation; Surgical Flaps; Tissue Expansion Devices; Tomography, X-Ray Computed
• ISSN: 0385-8146; 1879-1476
• DOI: 10.1016/j.anl.2005.03.003

There have not been any reports about scattered glass foreign bodies in the neck, while injuries of the head and neck region as a result of traffic accidents have been frequently reported. We report the case of a 17-year-old male injured in a traffic accident, with scattered glass foreign bodies in both the superficial and deep neck. A CT scan indicated the existence of numerous glass foreign bodies in the various layers of the neck. Most of the foreign bodies were very fine or sand-like. The wounded skin was keloidal and expected to lead to remarkable facial edema of the left side. The foreign bodies and cervical keloidal lesions with small pieces of glass were carefully removed, and then reconstruction was conducted in stages using tissue expanders. The facial edema was reversed and the aesthetic reconstruction satisfied the patient.