Document Type : Case Report
1 Department of Oral and Maxillofacial surgery Rajarjeswari dental college and Hospital, Bangalore, India
2 Department of ENT Fortis Hospital, Nagarbhavi, Bangalore, India
Objective: Penetrating injuries in the maxillofacial region pose a great challenge due to
the anatomical complexity inherent to the area compounded with vital functions such
as vision and airway. This paper highlights the importance of meticulous preoperative
planning and a concerted effort of a multidisciplinary team in managing penetrating
Case Presentation: A 38-year -old man reported to the emergency department with a
knife impacted in the medial wall of the orbit, travelling up to the base of the cranium. A
CT scan aided in evaluating the site, depth, and relation of the foreign body to the adjacent
structures. A team of oral and maxillofacial surgeons, ENT and neurosurgeon successfully
retrieved the knife and the patient recovered with no morbidities.
Conclusions: Penetrating injuries in the maxillofacial region are rare and there is a dearth
of documentation in literature. A quick response with proper preoperative planning and a
team approach is paramount in the successful management of these patients.