Vol.102 No.6 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 102 No. 6 June 2009
A Case of Facial Stab Wound with Scissors
Toshihiro Nagato
(Asahikawa Red Cross Hospital, Asahikawa Medical College)
Taketoshi Fujita and Osamu Oshima
(Asahikawa Red Cross Hospital)
Yasuaki Harabuchi
(Asahikawa Medical College)
We report a rare case of facial stab wound with scissors. A 25-year-old man was admitted to the emergency room of Asahikawa Red Cross Hospital after his face had been stabbed with scissors. Physical examination demonstrated a small stab wound of the left ala of the nose and right abducens nerve palsy. Computed tomography showed fractures of the nasal septum, anterior and posterior walls of the sphenoidal sinus, and posterior clinoid process. There was no detectable cerebrospinal fluid rhinorrhea on endoscopic sinus surgery. He was treated by mecobalamin for abducens nerve palsy. Right abducens nerve palsy showed gradual recovery and improved 2 months after the injury.
It is important to carefully examine cases of facial stab wound due to any edged tools including scissors even if the wounds are small.
Key words :facial stab wound, scissors, abducens nerve palsy