Navigating Complex Maxillofacial Trauma: A Case Report on Arrow Shot Injury to the Face by a Speargun.

Trauma is a leading cause of death worldwide, with 25% of cases involving the head and neck region. Among various trauma types, impalement injuries caused by arrows and spearguns pose significant challenges due to their potential for severe damage to critical structures. This case report aims to present a case of a speargun arrow injury to the face and to discuss the mechanisms, implications, and management of such trauma. A 44-year-old male presented with an impaled arrow in the right infraorbital area, accidentally shot by his son. Initial assessment showed a conscious patient with stable vital signs. Imaging revealed the arrow penetrating the nasomaxillary region and extending into the cervical spine. Surgical removal was performed successfully using a retrograde approach with a Foley catheter to avoid further tissue damage. This case underscores the importance of individualized treatment strategies and the critical role of imaging in managing penetrating arrow injuries. A multidisciplinary approach, rapid assessment, and careful surgical planning are essential for positive outcomes. Reporting such cases contributes to medical research and improves safety regulations and treatment protocols.