The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Firecracker injury

Photo by Dr. Chieng Lee Ling

A 16 year-old male student was playing with firecrackers at home when one of them exploded in front of his face causing severe damage to the midface with loss of the nose and upper lip. The left globe was severely ruptured and required evisceration. Fortunately, the right globe was intact and the vision measured 6/18. The midface injury was managed by the ENT and the plastic team.

 

Firecracker injury.

 

Severe midface trauma from the firecracker. The left globe was ruptured by the force.

 

Reconstructed CT scans showing extensive midface and left cheek and orbital bone fracture.

 

Six days post-debridement. The patient is tube fed and awaits further reconstruction.

The right eye has good vision.

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