Jael’s Syndrome – A case report
DOI:
https://doi.org/10.33448/rsd-v10i2.12688Keywords:
Maxillofacial Injuries; Wounds, Stab; Violence against women.Abstract
The traumas often involve the maxillofacial area, but stab wounds to the face are rare. The protective defense mechanism activates instinctively defending the face from any possible injuries. Due this lower incidence and also the various forms of injuries and objects used for such injury, stab wounds become a challenge for surgeons. The surgeon must be completely familiar and prepared to meet this demand on the emergency room. The purpose of this paper is to report a case of aggression with bladed weapon. The trauma generated by a member of his family against a woman caused an injury in the left infraorbital region, transfixing until the region of hard palate, where it was possible to see the end of the knife. A surgical procedure was performed under general anesthesia to remove the foreign body and synthesize the tissues. The patient recovered well, without any more serious complications, only with paraesthesia of the left infraorbital nerve. The patient remained in follow-up for two months and did not attend the other appointments for a long-term evaluation.
References
Affonso, P. R. A., Cavalcanti, M. A., Groisman, S., & Gandelman, Í. (2010). Etiologia de trauma e lesões faciais no atendimento pré-hospitalar no Rio de Janeiro. Artigos Originais, 1–9.
Almeida Júnior, P., Santos, T. de S., Kumar, P. N., Martins Filho, P. R. S., & Carvalho, R. W. F. de. (2010). Ferimento a faca impactada na face (Síndrome de Jael): relato de caso. Rev. Cir. Traumatol. Buco-Maxilo-Fac, 5458, 9–13.
Chowdhury, F. H., Haque, M. R., Hossain, Z., Chowdhury, N. K., Alam, S. M., & Sarker, M. H. (2016). Nonmissile Penetrating Injury to the Head: Experience with 17 Cases. World Neurosurgery, 94, 529–543. https://doi.org/10.1016/j.wneu.2016.06.062.
Costa, M. C. F., Cavalcante, G. M. S., Nóbrega, L. M. da, Oliveira, P. A. P., Cavalcante, J. R., & d’Avila, S. (2014). Facial traumas among females through violent and non-violent mechanisms. Brazilian Journal of Otorhinolaryngology, 80(3), 196–201. https://doi.org/10.1016/j.bjorl.2013.10.001.
Dominguete, P. R., Matos, B. F., Meyer, T. N., & Oliveira, L. R. (2013). Jael syndrome: Removal of a knife blade impacted in the maxillofacial region under local anaesthesia. BMJ Case Reports, April. https://doi.org/10.1136/bcr-2013-008839.
El Sayed, M., Hassan Saad, R., & Fereir, A. (2018). Undiagnosed impacted knife blade from a penetrative orbital injury: A case report. International Journal of Surgery Case Reports, 53, 254–258. https://doi.org/10.1016/j.ijscr.2018.10.064.
Koche, J. C. (2011). Fundamentos de metodologia científica. Petrópolis: Vozes.
Lüdke, M., & André, M. (1986). Pesquisa em educação: abordagens qualitativas. São Paulo: E.P.U.
Morris, L. M., & Kellman, R. M. (2013). Complications in Facial Trauma. Facial Plastic Surgery Clinics of North America, 21(4), 605–617. https://doi.org/10.1016/j.fsc.2013.07.005.
Moura, M. T. F. L. de, Daltro, R. M., & Almeida, T. F. de. (2017). Traumas faciais: uma revisão sistemática da literatura. Revista Da Faculdade de Odontologia - UPF, 21(3), 331–337. https://doi.org/10.5335/rfo.v21i3.6158.
Nogueira Neto, J., Muniz, V., Figueiredo, L., Freire, F., & Souza, A. (2015). Ferimento provocado por arma branca impactada em região maxilofacial: Relato de caso. Revista de Cirurgia e Traumatologia Buco-Maxilo-Facial, 15(1), 41–44.
Paiva, L. G. J., Rodrigues, Á. R., Carneiro, R. P., Oliveira, M. T. F., Silva, M. C. P., & Barbosa, D. Z. (2013). Fratura mandibular após ferimento por arma branca – diagnóstico e conduta clínica Mandibular fracture after stab wounds - diagnosis and clinical conduct. Rev Odontol Bras Central, 21(61), 100–102.
Petersen, K., & Waterman, P. (2011). Prophylaxis and treatment of infections associated with penetrating traumatic injury. Expert Review of Anti-Infective Therapy, 9(1), 81–96. https://doi.org/10.1586/eri.10.155.
Provasi, S., Geraldo, A. H. P. da S., Oku, A. T., & Paulesini Junior, W. (2018). Trauma facial: ferimento por arma branca. Relato de caso. Revista de Odontologia Da Universidade Cidade de São Paulo, 29(3), 305. https://doi.org/10.26843/ro_unicidv2932017p305-311.
Ramos, J. C., de Almeida, M. L. D., de Alencar, Y. C. G., Filho, L. F. de S., Figueiredo, C. H. M. da C., & Almeida, M. S. C. (2018). Epidemiological study of bucomaxilofacial trauma in a Paraíba reference hospital. Revista Do Colegio Brasileiro de Cirurgioes, 45(6), 1–9. https://doi.org/10.1590/0100-6991e-20181978.
Silva, C. J. de P., Ferreira, R. C., de Paula, L. P. P., Haddad, J. P. A., Moura, A. C. M., Naves, M. D., & e Ferreira, E. F. (2014). Traumatismos maxilofaciais como marcadores de violência urbana: Uma análise comparativa entre gêneros. Ciencia e Saude Coletiva, 19(1), 127–136. https://doi.org/10.1590/1413-81232014191.2059.
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Copyright (c) 2021 João Francisco Barbosa Cordeiro; Mateus Diego Pavelski; Aline Alves Luciano; Osvaldo Magro Filho; Tharzon Barbieri; Maicon Douglas Pavelski
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