High-Pressure Water Jet Injury to the Parotid Region

Introduction: The high-pressure water jet is used for cleaning in various business lines. However, these technological devices occasionally cause severe penetrating injuries in the head and neck region due to high-pressure water. Such high-pressure water injuries to the parotid region are rare. Case Report: After high-pressure water jet injury, facial paralysis was present in a 37-year-old male patient who applied to the emergency department with an incision about 15-20 cm including skin, subcutaneous tissue, parotid gland and masseter muscle on the raght side of the neck. In Magnetic Resonance Imaging (MRI), there was no pathology showing deep veins, trachea, larynx, and oropharynx. For facial paralysis, prednisolone treatment was given intravenously (iv) and antibiotic therapy was started in response to the possibilit of infection. Conclusion: As the daily use of water jets becomes increasingly widespread, the prominence of these injuries is increasing. Early tissue repair is useful in reducing post-injury complications. We found it appropriate to present this issue in order to take attention to the public awareness of such head and neck injuries due to high-pressure water pumps.

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  • 1. De Beaux JLM. High-pressure water jet injury. Br Med J 1980; 280: 1417-8.
  • 2. Bora A, Ozerkan F, Ada S, Kaplan I, Ademoglu Y. High pressure injection injuries of the hand. Acta Orthop Traumatol Turc 1995; 29: 41-5.
  • 3. Dailina HZ, Kotsaki D, Varitimidis S, Moka S, Bakarozi M, Oikonomou K, et al. Injection injuries: Seemingly minor injuries with major consequences. Hippokratia 2008; 12: 33-6.
  • 4. Gönüllü H, Karadaş S, Işık D, Koçak ÖF, Tekin H. Bir acil servise başvuran maksillofasiyal travma olguları: Retrospektif bir çalışma. Turk Plast Cer 2011; 19: 121-4.
  • 5. Teyin A, Meral O, Kaya A, Şenol E. Facial Injury with Pressurised Water: A Case Report. J For Med. 2014; 28(2): 186-91.
  • 6. Fitzgerald C, Oosthuizen JC, O'Dwyer T. A case of quinsy following high-pressure water jet injury. Ir Med J 2014; 107(6): 178.
  • 7. Subramaniam RM, Clearwater GM, High-pressure water injection injury:emergency presentation and management, Emerg Med 2002; 14: 324-7.
  • 8. Verhoeven N, Hierner R, High-pressure injection injury of the hand. An often under estimated trauma:case report with study of the literatüre. Strategies in Trauma and Limb Reconstr 2008; 3: 27-33.
  • 9. Bekler H, Gökçe A, Beyzadeoğlu T. Dissemination pathways in high-pressure injection injuries of the hand:an experimental animal model. Acta Orthop Traumatol Turc 2007; 41: 147-51.
  • 10. Sampson CS. High-pressure water injection injury. I J Emerg Med 2008; 1: 151-4.