{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T16:20:27Z","timestamp":1793809227868,"version":"4.6.1"},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T00:00:00Z","timestamp":1699747200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>It is essential to take a specific multidisciplinary approach in penetrating maxillofacial traumas; securing the airway, completing the hemodynamic stabilization, and systemic evaluation and consideration regarding the beneficial therapeutic regime.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Jael's syndrome is defined as a deliberate injury caused by a knife to the skull and facial area. This article describes the case of a young male patient with a penetrating knife on the left side of the face following an assault. Due to the high probability of injury to the descending palatine artery, it was decided to make a femoral pathway for catheter angiography in the operation room and have a standby vascular surgeon for selective embolization of the external carotid artery in case of severe bleeding. The treatment plan included removing the foreign body, exploring the wound, suturing, tetanus immunization, and prescribing antibiotics. There was no significant complication in the postoperative period. However, In the 6\u2010month follow\u2010up, the patient complained of weakness in the left upper lip and hypoesthesia in the pathway of the left infraorbital nerve. Jael's syndrome can be life\u2010threatening, so there is a need for accurate initial management performed by a multidisciplinary team to raise the survival rate of these patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.8163","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T05:39:30Z","timestamp":1699853970000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Jael's syndrome: Hemostatic management of an impacted knife in the facial site\u2014A case report"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3827-9708","authenticated-orcid":false,"given":"Mostafa","family":"Alam","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, School of Dentistry Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9436-9375","authenticated-orcid":false,"given":"Mohsen","family":"Golkar","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, School of Dentistry Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5844-6465","authenticated-orcid":false,"given":"Ashkan","family":"Badkoobeh","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, School of Dentistry Qom University of Medical Sciences  Qom Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8531-8699","authenticated-orcid":false,"given":"Milad","family":"Baseri","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, School of Dentistry Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,12]]},"reference":[{"issue":"1","key":"e_1_2_12_2_1","first-page":"1","article-title":"Jael's syndrome: knife blade impacted in the facial skeleton: an illustrated case report and a review of literature","volume":"24","author":"Massaad J","year":"2022","journal-title":"NEMESIS Neg Effect Med Sci Oral Maxillof Surg"},{"issue":"4","key":"e_1_2_12_3_1","first-page":"163","article-title":"Penetrating arrow in the face: a case report","volume":"13","author":"Fern\u00e1ndez EC","year":"2020","journal-title":"South Sudan Med J"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijssr.ijssr_3_17"},{"key":"e_1_2_12_5_1","first-page":"1","article-title":"Traumatic foreign body into the face: case report and literature review","volume":"2017","author":"Melo MNB","year":"2017","journal-title":"Case Rep Dent"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2018.05.011"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2001.26730"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198803000-00003"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.05.003"},{"issue":"4","key":"e_1_2_12_10_1","article-title":"An interesting case of penetrating craniofacial trauma involving a wooden stick","volume":"10","author":"Kulkarni A","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13244-021-00969-9"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.283075050"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(94)90140-6"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(92)90082-9"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31821cc53e"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1642035"},{"issue":"2","key":"e_1_2_12_17_1","first-page":"217","article-title":"Herida penetrante del cr\u00e1neo","volume":"50","author":"Gonz\u00e1lez Orlandi Y","year":"2011","journal-title":"Rev Cubana de Cirug\u00eda"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(88)80019-2"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197207000-00005"},{"issue":"5","key":"e_1_2_12_20_1","first-page":"464","article-title":"Penetrating injuries of the face. 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