Pencils and Pens: An Under-Recognized Source of Penetrating Injuries in Children

@article{Fisher2011PencilsAP,
  title={Pencils and Pens: An Under-Recognized Source of Penetrating Injuries in Children},
  author={S. Fisher and M. Clifton and A. Bhatia},
  journal={The American Surgeon},
  year={2011},
  volume={77},
  pages={1076 - 1080}
}
Unlike other sharp objects, pens and pencils are readily available to children both at home and school. Although case reports are published, no series of pen or pencil injuries have been reported in the recent literature. We therefore reviewed the incidence and injury profiles of writing instruments as compared with other sources of penetrating trauma. The trauma registry from a large urban pediatric hospital system was queried for nonmissile, nonbite penetrating injuries from 2005 through 2009… Expand
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References

SHOWING 1-10 OF 14 REFERENCES
VERTEBRAL BODY GRANULOMA OF THE CERVICAL REGION AFTER PENCIL INJURY
TLDR
The findings in an 18-year-old male patient with secondary granuloma formation after a penetrating transoral pencil injury are presented and it is suggested that imaging characteristics and a detailed history will assist with the diagnosis of such lesions. Expand
CEREBRAL ABSCESSES IN CHILDREN AFTER PENCIL-TIP INJURIES
TLDR
Should a cerebral abscess develop, management should be by repeated aspiration, intravenous antibiotics, and elective excision of the residual abscess and foreign-body fragments together with a formal dural repair. Expand
Craniocerebral injury resulting from pencil penetration
TLDR
Early endoscopic surgical intervention was performed and the rhinorrhea was successfully treated in this case, and radiological and surgical characteristics of this unusual penetrating craniofacial trauma are discussed. Expand
Internal jugular vein thrombosis in a child due to a 'pencil point injury' of the palate.
TLDR
An unusual case of a 6 year old girl who presented with fever, cervical swelling and torticollis, following a pencil point injury is described, confirming the diagnosis of internal jugular vein thrombosis (IJVT). Expand
Cauda equina-penetrating injury in a child. Case report.
TLDR
The case of a 10-year-old boy who sustained an injury to the cauda equina as a result of the accidental penetration of a wooden pencil into the spinal canal and the foreign body was removed and the wound was repaired. Expand
Penetrating pediatric cardiac trauma caused by fall on a pencil with normal echocardiography.
A toddler, age 2, presented with a penetrating cardiac trauma caused by a fall on a pencil. This case showed a normal echocardiography. However, during removal of the pencil, signs of cardiacExpand
Intracranial pencil injuries.
TLDR
A case of delayed central nervous system manifestations of intracranial penetration by a pencil is presented and liberal use of the computed tomographic scan and early operative intervention in cases with cranial perforation are important points in the management of these injuries. Expand
Brown Séquard syndrome due to cervical pen assault.
TLDR
A 14-year-old student with classic Brown Séquard syndrome after pen assault injury by his classmate in posterior neck area presented here; with medical and supportive care, the patient was discharged with good outcome. Expand
Unintentional childhood injuries in the United States: key findings from the CDC childhood injury report.
TLDR
The CDC Childhood Injury Report provides an overview of patterns of childhood unintentional injuries in the United States, related to drowning, falls, fires or burns, transportation, poisoning, and suffocation, among other injuries such as overexertion, and being struck by or against an object. Expand
Silent orbitocranial penetration by a pencil.
TLDR
Computed tomography of orbit and brain is an important investigation, even in seemingly trivial eyelid injury, to reveal the full extent of the damage. Expand
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