Man vs. pitchfork!

Penetrating trauma is an injury caused by a foreign object piercing the skin, which damages the underlying tissues and results in an open wound. In penetrating trauma, the surgeon should take into account a multitude of interrelated factors. These include the mode of injury, the site and extent of injury to the soft tissue and the underlying structures.
Fortunately in this case, no vital structure was damaged.
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昨日又是做了一整天手术，两台肾上腺手术都各有特点。其中一个病人是典型的Cushing病（原发性皮质醇增多），非ACTH依赖型，肾上腺腺瘤通过后腹腔方式切除；另外一个病人，因为腺瘤太大且位置太高，在肝下，采取经腹腔的方式，有惊无险。所以，手术得设计，不然选错了方式，太难了。#诊间故事# #医学科普# #医学生Medic[超话]# #医学生#

Dynamic transfer of the temporal muscle for the management of permanent facial paralysis !!
In this case mark the facias. The red arrow is the temporal muscle, the blue is the junction of the fascia with the muscle, and the green is the fascia of the dissected muscle and divided into strips that go to the forehead, orbicular muscle and cheek to give movement.
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