木片による顔面・頸部杙創例

Impalement injury of the face and neck：a case report

Ⅰ．はじめに

　杙創とは鈍的先端を有する物体の貫入あるいは貫通創であり，頭頸部領域に発症することは稀である。今回われわれは左頰部より右頸部にまで達した木片異物による杙創例を経験したので，文献的考察を加え報告する。

　The impalement injury of head and neck is extremely rare. We reported a 69-year-old man with impalement injury by a wooden stick. He fell from a motorcycle and jumped into a hedge. A wooden branch stuck his left cheek and penetrated his right neck to the oral cavity. Contrast enhanced CT showed that a wooden branch passed near the common carotid artery and internal jugular vein. The wooden stick was successfully removed by transcervical approach following tracheostomy without severe sequelae. Preoperative CT was useful to know the positional relationship between a foreign body and the important organs.