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Penetrating trauma to the pediatric craniofacial skeleton, though uncommon, often presents a diagnostic and management dilemma in emergency departments and trauma centers because of the variety and complexity of potential injuries, some of which can be life-threatening. A study of all pediatric trauma patients over a 15-year period shows that the incidence of this type of injury is approximately 1% to 2%.1 Therefore it is very likely that otolaryngologists, maxillofacial surgeons, and emergency department physicians, especially those working in tertiary referral centers, will encounter these patients.
Pereira KD, Wang BS, Webb BD. Impalement Injuries of the Pediatric Craniofacial Skeleton With Retained Foreign Bodies. Arch Otolaryngol Head Neck Surg. 2005;131(2):158-162. doi:10.1001/archotol.131.2.158