Rare case of assault with knife penetrating base of the skull – Retrieval and management

Addressing a penetrating injury in the maxillofacial region poses significant challenges for oral and maxillofacial surgeons due to the presence or critical structures. Damage to these structures can lead to varying degrees of impairment and a decreased quality of life for the patient. A 48-year-old individual sustained a stabbing injury to the left side of their face. The knife remained lodged inside for 7 h until they were admitted to the trauma unit. The assailant had unsuccessfully attempted to remove the weapon by bending its handle. Following thorough examinations to pinpoint the exact location of the knife, it was safely removed under sedation. The patient experienced successful healing without major complications. The minimisation of scar tissue was achieved through proper debridement and layered linear wound closure. Subsequently, the patient was transferred to the general ward for monitoring and prescribed antibiotics to prevent wound infection. This report includes a detailed account of the weapon retrieval process and its management, along with a review of relevant literature Reconstruction of complicated facial wounds is difficult for surgeons, and early treatment is necessary to avoid additional harm.