Weird Puncture Wound Friday

ResearchBlogging.org
I was GOING to do this AWESOME article that just came out in the Journal of Sexual Medicine, on how a woman’s walk can show whether or not she’s capable of vaginal orgasm, but unfortunately, I cannot get a hold of the article, the DOI is not coming up valid.  I don’t suppose anyone can get me this, in the interest of science and weird science fridays?! 

J Sex Med. 2008 Jul 15. [Epub ahead of print]
A Woman’s History of Vaginal Orgasm is Discernible from Her Walk.
Nicholas A, Brody S, de Sutter P, de Carufel F.

I can has?

I’m sure you all know by now I’ve got a thing for blows to the head (as long as they’re on other people). This one is good for some rather gross pictures (you’ve been warned), and a cool and innovative way of taking care of the problem.

Spence, et al. “Foreign body projectile impalement into the infratemporal fossa space: an unusual trauma case report” Journal of Oral and Maxillofacial Surgery, 64(11), 2006.

What this case study boils down to is a paean to oral and maxillofacial surgeons to continue working in trauma centers, because it keeps your surgery skills sharp and stops you from apparently becoming an old fossil with no creativity. But that’s not what I care about with this paper.

Basically, this guy was trying to right a small building (presumably very small, and since this was in Texas, it could have been an outhouse). He put a six-inch eyebolt in a support beam and tried to pull the building up using a “come-along”, which people use to stretchfences and extract stuck trucks from mudholes. Unfortunately, he didn’t put the bolt in very well, and it apparently came flying out, I suppose it must have flipped around in midair, and it hit the guy right behind the ear, point first. It went right into the skull and ended up with the point at the front of the face, though not coming out. The man never lost consciousness.

From Weird Science Fridays

So he’s got a huge bolt sticking out behind his ear. I suppose if he wasn’t compromised, he could have worn it around, and everyone would have thought it was an awesome new kind of hardcore piercing. However, because it was in the posterior wall of the maxilla, the poor guy couldn’t open his mouth more than about 10mm. That’s smaller than the nail on your pinkie. I imagine this would be great for weight loss.

What was really innovative was how they decided to get it out. Obviously they could have gone slicing in with the bone saw, but that would be a really long and arduous recovery, probably with the guy’s jaw wired shut. And they can’t just go pulling the screw out, or unscrewing it. Those big grooves probably had wood bits in them, and who knows what else, and twisting it around will only make for more problems. So the doctors got some thin, flexible tubing (an endotrachial tube, usually used to help people breathe), and slit it open. They then slid it carefully over the screw and into the wound, so that the tubing surrounded the screw. This allowed them to pull the screw out with no extra problems. I thought this was a really cool example of someone thinking on their feet. Of course they flushed it out really good, but afterward, the man didn’t even need very many stitches! Impressive.

From Weird Science Fridays

The only thing that disappoints me about the article is that the blow missed the brain. I know, I’m sick, and it’s very good for HIM that it didn’t miss the brain, but I’d love to see what he was like if it had hit. If it had been at an angle to hit, it might have hit the pole of the temporal lobe. Right now, researchers believe that the temporal role plays an extended amygdala kind of role for emotional and sensory processing, and so it would have been REALLY interesting to see what a lesion there would have looked like. Perhaps I’ll need to cover that some time… As it is, it is of course better that he’ll just have a nasty scar and some difficulty opening his mouth.

So what is the moral of this story? Well, the authors might say that it’s a story of how keeping up with experience in the trauma clinic can really hone your creative and operative skills. Me, I say don’t go trying to re-right a building by yourself with a badly placed eye-screw.

D SPENCE, W PARKSJR, H ROWSHAN (2006). Foreign body projectile impalement into the infratemporal fossa space: An unusual trauma case report Journal of Oral and Maxillofacial Surgery, 64 (11), 1702-1704 DOI: 10.1016/j.joms.2006.07.005

3 Responses

  1. You probably have it by now, but, if not, try:

    http://www3.interscience.wiley.com/cgi-bin/fulltext/120776333/HTMLSTART

    (I found it by noting the same journal had published the article ‘Vaginal orgasm is associated with less use of immature psychological defense mechanisms’ and I used that link to figure out the journal’s URL.)

  2. Matt: Thankyouthankyouthankyou!!!! I’ve been DYING to get my hands on that paper and couldn’t figure out why it wasn’t out yet. I am ALL over that puppy for next Friday.

    BTW: http://scienceblogs.com/neurotopia

  3. […] for some reason the journal was denied me, until this very lovely guy named Matt commented on my old blog, complete with the link to the paper. Thanks Matt! So yeah, other people have covered it before (I […]

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