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Ho Chi Minh City doctors save girl with hand brake piercing eye socket, skull base

Ho Chi Minh City doctors save girl with hand brake piercing eye socket, skull base

Monday, March 06, 2023, 16:27 GMT+7
Ho Chi Minh City doctors save girl with hand brake piercing eye socket, skull base
A CT scan of a bicycle hand brake perforating nine-year-old L.T.V.’s left eye socket

A nine-year-old girl whose left eye socket and skull were punctured by a bicycle hand brake has been successfully treated by doctors at the Ho Chi Minh City Children’s Hospital and the Ho Chi Minh City Eye Hospital.

The municipal Department of Health announced the successful treatment of nine-year-old L.T.V., a resident of Binh Tan District, on Sunday.

V. was taken to the Ho Chi Minh City Children’s Hospital 30 minutes after a bicycle hand brake pierced directly through her left eye socket, causing bleeding.

She had collided with a bike while playing near her house.

Doctors at the children’s hospital first gave V. oxygenation support, intravenous fluids, pain relief, wound care, tetanus vaccination, and assessment and screening for associated injuries. 

A CT scan of the brain showed that the girl had acute bleeding in the brain parenchyma, external and subdural hemorrhage in the left frontal lobe.

In addition, the orbital surface of the left frontal bone was also broken, and there was hematoma in the left maxillary sinus as the foreign body penetrated the left orbit and the base of the skull, reaching the brain parenchyma.

An interdepartmental consultation was quickly carried out, with doctors considering that the case posed a high risk of brain damage, eyeball injury, and bleeding and consenting to prepare for emergency surgery on the child with support from the Ho Chi Minh City Eye Hospital.

Immediately after the consultation, the patient was transferred to an operating room for a craniotomy to remove brain tissue contusion, hematoma, and broken bone fragments.

Then, doctors of the eye hospital opened her eye socket to remove the foreign object, 25cm long, from the orbit.

Surgeons then performed a check on the eyeball and the sclera before suturing the conjunctiva and restoring the shape of the canthus. 

V.’s health has regained stable conditions and she is receiving intensive care at the surgical resuscitation department with mechanical ventilation, blood transfusion, antibiotics, sedation, pain relief, and active brain edema.

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Bao Anh - Xuan Mai / Tuoi Tre News

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