2014 Volume 24 Issue 1 Pages 109-113
The patient was a 67-year-old man. He had been stabbed in the face with a kitchen knife by his son who suffered from schizophrenia, and he was brought to Kyorin University Hospital as an emergency. The kitchen knife reached the contralateral maxillary sinus from the left gena through the nasal cavity. In a computed tomography image, the kitchen knife appeared to have damaged the descending pharyngeal artery and sphenopalatine artery, so we cut open the left neck and prepared for external carotid taping above the superior thyroid artery. We also prepared to stop the bleeding which was hard to stop before extracting the knife. However, we could remove the kitchen knife without bleeding. Furthermore, the patient improved without serious blood vessel damage or facial nerve injury. Here we discuss the clinical presentation of this patient, review the recent literature, and discuss the findings.
