Case report of delayed treatment of Jael’s syndrome: knife blade retained in maxillofacial region for 2 years
Abstract
Reports on Jael’s syndrome, characterized by intentionally inflicted knife wounds to the craniofacial region, are scarce. A 41-year-old man presented with a retained knife blade in the maxillofacial region 2 years after an assault. The prolonged delay in treatment resulted from his incarceration after the injury. Clinical evaluation revealed a stab wound penetrating from the right inferior orbital rim through the nasal septum into in the left maxillary sinus. Exploratory antrostomy and dacryocystorhinostomy were performed for knife blade removal with an uneventful postoperative course. This study reviewed the existing literature and examined strategies for addressing retained knife blades in the craniofacial area. Most cases involving acute knife wounds underwent urgent surgical intervention. This case underscores the importance of a comprehensive assessment for retained blades in deep stab wounds. Despite a 2-year delay in treatment, simple extraction performed in this case had no adverse effects on the outcome during 9 months of follow-up.
Related
- Delayed spinal endoscopy-assisted posterolateral removal of deep retained glass fragments at the pediatric cervicothoracic junction after emergency debridement: a case report.
- When Flow Voids Are Missed: Delayed Diagnosis of Foix–Alajouanine Syndrome—A Case Report
- Delayed-onset central neurotoxic syndrome with predominant cerebellar dysfunction following combined chlorpyrifos and cypermethrin poisoning: a case report
- Delayed deterioration after surgical treatment of a spinal dural arteriovenous fistula detected by three spinal angiographies: Case report
- Delayed Cortical Hyperperfusion Induced by Positional Carotid Compression in Stylocarotid Syndrome: A Case Report
BibTeX
@article{chen2026case,
title = {{Case report of delayed treatment of Jael’s syndrome: knife blade retained in maxillofacial region for 2 years}},
author = {Pin-Yang Chen and Yi-Chia Wu and Ming-Jer Tsai and Su-Shin Lee},
journal = {Journal of Surgical Case Reports},
year = {2026},
month = nov,
doi = {10.1093/jscr/rjag993},
url = {https://doi.org/10.1093/jscr/rjag993},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Case report of delayed treatment of Jael’s syndrome: knife blade retained in maxillofacial region for 2 years
AU - Pin-Yang Chen
AU - Yi-Chia Wu
AU - Ming-Jer Tsai
AU - Su-Shin Lee
PY - 2026
DA - 2026/11/04
JO - Journal of Surgical Case Reports
DO - 10.1093/jscr/rjag993
UR - https://doi.org/10.1093/jscr/rjag993
AB - Reports on Jael’s syndrome, characterized by intentionally inflicted knife wounds to the craniofacial region, are scarce. A 41-year-old man presented with a retained knife blade in the maxillofacial region 2 years after an assault. The prolonged delay in treatment resulted from his incarceration after the injury. Clinical evaluation revealed a stab wound penetrating from the right inferior orbital rim through the nasal septum into in the left maxillary sinus. Exploratory antrostomy and dacryocystorhinostomy were performed for knife blade removal with an uneventful postoperative course. This study reviewed the existing literature and examined strategies for addressing retained knife blades in the craniofacial area. Most cases involving acute knife wounds underwent urgent surgical intervention. This case underscores the importance of a comprehensive assessment for retained blades in deep stab wounds. Despite a 2-year delay in treatment, simple extraction performed in this case had no adverse effects on the outcome during 9 months of follow-up.
SN - 2042-8812
ER -