@article{Gatela_2021, title={Self-Inflicted Craniofacial Impalement Injury with a Screwdriver During the COVID-19 Pandemic: A Case Report}, volume={36}, url={https://pjohns.pso-hns.org/index.php/pjohns/article/view/1653}, DOI={10.32412/pjohns.v36i1.1653}, abstractNote={<p><strong>ABSTRACT</strong></p> <p><strong>Objective:</strong> To present a case of a 37-year-old man presenting with craniofacial impalement injury from a screwdriver that happened during the early stages of the COVID-19 pandemic.</p> <p><strong>Methods: </strong></p> <p><strong>Design:</strong> Case Report</p> <p><strong>Setting:</strong> Tertiary Government Training Hospital</p> <p><strong>Patient:</strong> One</p> <p><strong>Results:</strong> During the early stages of COVID-19 pandemic a 37-year-old man was brought to the emergency room with a screwdriver embedded in his right eye. A multidisciplinary team observing available recommendations (level IV PPE, carefully planned operative directives) successfully performed endoscopic endonasal transsphenoidal surgery with application of a nasoseptal Hadad flap and abdominal fat obliteration. Aside from medial gaze limitations of the right eye, there was no CSF leak or rhinorrhea and no neurologic sequelae on follow up.</p> <p> </p> <p><strong>Conclusion:</strong> Endoscopic skull base surgery for such an impalement injury as this is a formidable multidisciplinary challenge, even in normal times. The early stages of the COVID-19 pandemic presented additional challenges. Observing evolving guidelines minimized the high risk of exposure for health care workers while maximizing care for the patient.</p>}, number={1}, journal={Philippine Journal of Otolaryngology Head and Neck Surgery}, author={Gatela, JL Jane}, year={2021}, month={May}, pages={41} }