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Clinical Note
February 2005

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

Financial Disclosure: None.

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.