Management of a Steel Bar Injury Penetrating the Head and Neck: A Case Report and Review of the Literature.

Background: Nonmissile penetrating injuries to the head and neck caused by a steel bar are rare, and a standard management strategy is lacking.

Case Description: A 42-year-old woman sustained a steel bar injury with penetration of the head and neck. Computed tomography and three-dimensional reconstruction were performed for preoperative evaluation. Digital subtraction angiography was performed to confirm potential vascular injury. The steel bar was successfully removed through an open surgical procedure by a multidisciplinary team.

Conclusions: Relevant literature regarding nonmissile penetrating injuries involving a steel bar was reviewed to propose appropriate management strategies. Comprehensive imaging evaluation and prompt surgery by a multidisciplinary team contributed to the successful removal of the steel bar.