Professional paper

Stab wound leading to sub lingual haematoma

CRAIG MILLER ; The Royal London Hospital, 21 Kingsley Avenue, Borehamwood, Herts, WD6 4LY, United Kingdom
MATHEW KEENAN ; The Royal London Hospital, 21 Kingsley Avenue, Borehamwood, Herts, WD6 4LY, United Kingdom
HELEN DREWERY ; The Royal London Hospital, 21 Kingsley Avenue, Borehamwood, Herts, WD6 4LY, United Kingdom
NAYEEM ALI ; The Royal London Hospital, 21 Kingsley Avenue, Borehamwood, Herts, WD6 4LY, United Kingdom

Abstract

We report a case of a sublingual haematoma and proptosis of the right eye as a result of penetrative injury to the suprazygomatic
supratemporal fossa. The case was seen in the accident and emergency department at the Royal London Hospital
(RLH). The case was referred to the anaesthetic and oral and maxillofacial unit, following neurosurgery and ophthalmology
assessments.
The case highlights the need for a multi disciplinary approach to dealing with penetrative wounds in the craniofacial region.
It is essential that all healthcare professionals have excellent working knowledge of the anatomy of the orbit and its association
with anatomical planes in the head and neck. (1) When diagnosing orbital compartment syndrome (also known as
retrobulbar haemorrhage), radiographic findings should always be correlated to clinical signs and symptoms. Management
of such a condition should be tailored to the individual. In this case medical management alone of 80mg of dexamethasone
and 500mg of Mannitol was appropriate to enable a full recovery.

Keywords

haematoma; airway obstruction; preoperative procedure; retrobulbar haemorrhage; floor of mouth

Hrčak ID:

134228

URI

https://hrcak.srce.hr/134228

Publication date:

1.10.2014.

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