RESUMO
A constant search for methods to limit blood loss, especially the vascular lesions of the tongue, has led to the acceptance of ultrasonic harmonic scalpels.The harmonic scalpel's reliability exists in its ability for lasting hemostasis with minimal heat dispersion to the surrounding structures.Surgical removal of the vascular pathology in a restricted area of the oral cavity and oropharynx dictates a bloodless surgical field, further allowing increased visibility of the lesion and the surrounding anatomical structures, subsequently narrowing the surgical time frame.We report a rare case of haemangioma of the lateral border of the tongue managed with complete resection of the tumor achieved using the harmonic scalpel with reduced intraoperative blood loss, increased visibility, evidently reduced post-operative necrosis and highly preserved tissue for the histopathological examination.
RESUMO
Penetrating Cranio-Maxillofacial trauma obscuring the clear view of the face in addition to an impediment to emergency airway management has been a rare occurrence in the archives of emergency trauma. A four-year-old girl reported to the emergency following a lunch box sharp rim penetrating wound to her left supraorbital region, limiting the access and clear view of her face. CT scan ruled out the serious orbital injury, but clearly revealed the piercing of the brain matter in the frontal region. The toddler's golden hour of primary management was spent in the darkness with the lunch box covering her entire face, obstructing the basic intubation methods required for primary airway management. Interpretation of the radiological investigations necessitated the multiple collaboration of the neurosurgery and maxillofacial surgeons, planning a systematic recovery of the foreign body without any major complications. Follow-up period was uneventful with no neurological and major cosmetic deficits.
