Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 7 , Pages 1279-1285 , July 2007

Management of Penetrating Trauma to the Soft Palate: A Case Report

  • Gary M. Raska, DMD

      Affiliations

    • Chief Resident, Oral and Maxillofacial Surgery, Carle Foundation Hospital, Urbana, IL.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Raska: Carle Clinic, Oral and Maxillofacial Surgery, 1st Floor, North Clinic, 602 West University Avenue, Urbana, IL 61801
    • ,
  • Sherdon W. Cordova, DDS

      Affiliations

    • Senior Resident, Oral and Maxillofacial Surgery, Carle Foundation Hospital, Urbana, IL.
    • ,
  • Rick Lema, MD

      Affiliations

    • Clinical Professor, Department of Pediatrics, University of Illinois College of Medicine; Department Head, Pediatric Intensive Care, Carle Foundation Hospital, Urbana, IL.
    • ,
  • Michael S. Goldwasser, DDS, MD

      Affiliations

    • Clinical Professor, Department of Surgery, University of Illinois College of Medicine; Adjunct Faculty, Department of Bioengineering, University of Illinois; Attending Faculty, Oral and Maxillofacial Surgery Residency Program, Carle Foundation Hospital, Urbana, IL.

References 

  1. Radkowski D, McGill TJ, Healy GB, et al. Penetrating trauma of the oropharynx in children. Laryngoscope. 1993;103:991
  2. Zeltser R, Kalter A, Casap N, et al. Oropharyngeal impalement injuries in children: Report of 2 cases. J Oral Maxillofac Surg. 2003;61:510
  3. Bickerstaff ER. Aetiology of severe hemiplegia in childhood. Br Med J. 1964;2:82
  4. Higgins GL, Meredith JT. Internal carotid artery thrombosis following penetrating trauma of the soft palate: An injury of youth. J Fam Pract. 1991;32:316
  5. Wu K, Ahmed A. Penetrating injury to the soft palate causing retropharyngeal air collection. Emerg Med J. 2005;22:148
  6. Woodhurst WB, Robertson WD, Thompson GB. Carotid injury due to intraoral trauma: Case report and review of the literature. Neurosurgery. 1980;6:559
  7. Mains B, Nagle M. Thrombosis of the internal carotid artery due to soft palate injury. J Laryngol Otol. 1989;103:796
  8. Hengerer AS, DeGroot TR, Rivers RJ, et al. Internal carotid artery thrombosis following soft palate injuries: A case report and review of 16 cases. Laryngoscope. 1984;94:1571
  9. Hellmann JR, Schott SR, Gootee MJ. Impalement injuries of the palate in children: Review of 131 cases. Int J Pediatr Otorhinolaryngol. 1993;26:157
  10. Pitner SE. Carotid thrombosis due to intraoral trauma. N Engl J Med. 1966;274:764
  11. Martin N, Warren GC. Thrombosis of the internal carotid artery due to intra-oral trauma. South Med J. 1969;62:103
  12. Suskind DL, Tavill MA, Keller JL, et al. Management of the carotid artery following penetrating injuries of the soft palate. Int J Pediatr Otorhinolaryngol. 1997;39:41
  13. American College of Surgeons. In: Advanced Trauma Life Support for Doctors. (ed 7). Chicago: American College of Surgeons; 2004;p. 243
  14. Brietzke SE, Jones DT. Pediatric oropharyngeal trauma: What is the role of CT scan?. Int J Pediatr Otorhinolaryngol. 2005;69:669
  15. Auerbach EG, Martin ET. Magnetic resonance imaging of the peripheral vasculature. Am Heart J. 2004;148:755
  16. Moriarty KP, Harris BH, Marchand KB. Carotid artery thrombosis and stroke after blunt pharyngeal injury. J Trauma. 1997;42:541
  17. Lew SM, Frumiento C, Wald SL. Pediatric blunt carotid injury: A review of the national pediatric trauma registry. Pediatr Neurosurg. 1999;30:239
  18. Biffl WL, Ray CE, Moore EE, et al. Noninvasive diagnosis of blunt cerebrovascular injuries: A preliminary report. J Trauma. 2002;53:850
  19. Miller PR, Fabian TC, Croce MA, et al. Prospective screening for blunt cerebrovascular injuries: Analysis of diagnostic modalities and outcomes. Ann Surg. 2002;236:386
  20. Biffl WL. Diagnosis of blunt cerebrovascular injuries. Curr Opin Crit Care. 2003;9:530
  21. Cothren CC, Moore EE, Biffl WL, et al. Anticoagulation is the gold standard therapy for blunt carotid injuries to reduce stroke rate. Arch Surg. 2004;139:540
  22. Fabian TC, Patton JH, Croce MA. Blunt carotid injury: Importance of early diagnosis and anticoagulant therapy. Ann Surg. 1996;223:513
  23. Miller PR, Fabian TC, Bee TK, et al. Blunt cerebrovascular injuries: Diagnosis and treatment. J Trauma. 2001;51:279
  24. Taketomo CK, Hodding JM, Kraus DM. In: Pediatric Dosage Handbook. (ed 11). Hudson, OH: Lexi-Comp Inc; 2004;p. 459
  25. Wahl WL, Brandt M, Thompson BG, et al. Antiplatelet therapy: An alternative to heparin for blunt carotid injury. J Trauma. 2002;52:896

PII: S0278-2391(06)01968-9

doi: 10.1016/j.joms.2006.10.056

Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 7 , Pages 1279-1285 , July 2007

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