Rodríguez-Ramos A, Zapata-Castilleja CA, Treviño-González JL, Palacios-Saucedo GC, Sánchez-Cortés RG, Hinojosa-Amaya LG, Nieto-Sanjuanero A, de la O-Cavazos M. Frontal penetrating arrow injury: A case report. World J Clin Cases 2023; 11(17): 4117-4122 [PMID: 37388790 DOI: 10.12998/wjcc.v11.i17.4117]
Corresponding Author of This Article
Manuel de la O-Cavazos, MD, Chief Physician, Department of Pediatrics, Hospital Universitario “Dr. José Eleuterio González,” Universidad Autónoma de Nuevo León, Av Francisco I. Madero 3501, Monterrey 64460, Nuevo León, Mexico. delaocavazos@yahoo.com
Research Domain of This Article
Pediatrics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2023; 11(17): 4117-4122 Published online Jun 16, 2023. doi: 10.12998/wjcc.v11.i17.4117
Frontal penetrating arrow injury: A case report
Alejandra Rodríguez-Ramos, Carlos A Zapata-Castilleja, José L Treviño-González, Gerardo C Palacios-Saucedo, Ramón G Sánchez-Cortés, Leonor G Hinojosa-Amaya, Adriana Nieto-Sanjuanero, Manuel de la O-Cavazos
Alejandra Rodríguez-Ramos, Carlos A Zapata-Castilleja, José L Treviño-González, Gerardo C Palacios-Saucedo, Ramón G Sánchez-Cortés, Leonor G Hinojosa-Amaya, Adriana Nieto-Sanjuanero, Manuel de la O-Cavazos, Department of Pediatrics, Hospital Universitario “Dr. José Eleuterio González,” Universidad Autónoma de Nuevo León, Monterrey 64460, Nuevo León, Mexico
Author contributions: Rodríguez-Ramos A drafted the manuscript and collected related information; De La O-Cavazos M supervised and performed the final review of the manuscript; Zapata-Castilleja CA drafted the manuscript and was in charge of the English translation; Palacios-Saucedo GC contributed to the review, correction, and final editing of the manuscript; Sánchez-Cortés RG, Hinojosa-Amaya LG, and Nieto-Sanjuanero A contributed to the review and final editing of the manuscript; all authors read and approved the final version of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient to publish this report and any accompanying images.
Conflict-of-interest statement: The authors declare no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Manuel de la O-Cavazos, MD, Chief Physician, Department of Pediatrics, Hospital Universitario “Dr. José Eleuterio González,” Universidad Autónoma de Nuevo León, Av Francisco I. Madero 3501, Monterrey 64460, Nuevo León, Mexico. delaocavazos@yahoo.com
Received: March 13, 2023 Peer-review started: March 13, 2023 First decision: March 24, 2023 Revised: May 2, 2023 Accepted: May 19, 2023 Article in press: May 19, 2023 Published online: June 16, 2023 Processing time: 90 Days and 16.1 Hours
Abstract
BACKGROUND
Penetrating arrow injuries of the head and neck are exceedingly rare in pediatric patients. This pathology has high morbidity and mortality because of the presence of vital organs, the airway, and large vessels. Therefore, the treatment and removal of an arrow is a challenge that requires multidisciplinary management.
CASE SUMMARY
A 13-year-old boy was brought to the emergency room after an arrow injury to the frontal region. The arrowhead was lodged in the oropharynx. Imaging studies showed a lesion of the paranasal sinuses without compromising vital structures. The arrow was successfully removed by retrograde nasoendoscopy without complications, and the patient was discharged.
CONCLUSION
Although rare, maxillofacial arrow injuries have high morbidity and mortality and require multidisciplinary management to preserve function and aesthetics.
Core Tip: Penetrating maxillofacial trauma is a rare, life-threatening pathology. Managing injuries caused by arrows is challenging because their removal can cause greater damage; therefore, the approach and treatment must be multidisciplinary. We present a pediatric patient who suffered a penetrating arrow injury of the frontal region without affecting vital structures and with successful removal.
