BMJ Case Reports 2013; doi:10.1136/bcr-2013-008839

Jael syndrome: removal of a knife blade impacted in the maxillofacial region under local anaesthesia

  1. Lucinei Roberto Oliveira
  1. Vale do Rio Verde University, Três Corações, Minas Gerais, Brazil
  1. Correspondence to Professor Lucinei Roberto Oliveira, lucinei{at}


The presence of retained foreign bodies in the maxillofacial region as a consequence of penetrating injuries from knives is poorly documented in the scientific literature. This manuscript reports the case of a 30-year-old Caucasian with a knife blade lodged in the maxillofacial skeleton. Following clinical and radiographic exams, it was determined that the object had penetrated through the left nostril and nasal septum, in the direction of the right maxillary sinus, and remained impacted without causing injury to important anatomical structures. After systemic assessment and determination of the exact location of the knife blade, the object was removed in an outpatient setting under local anaesthesia. This manuscript aims to report a rare case of a transfacial penetrating injury involving a knife blade that was removed in an outpatient setting while also discussing the proper conduct and treatment options for similar cases in the context of a brief literature review.

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