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Removing a bullet from a man's head

On the afternoon of March 17, the 108 Military Central Hospital (108 Hospital) reported that the unit's doctors had successfully performed a complex surgery, removing a bullet deep in a patient's skull thanks to the support of the S8 Navigation system, the most advanced positioning technology currently in neurosurgery.

Báo Sài Gòn Giải phóngBáo Sài Gòn Giải phóng17/03/2025

Accordingly, the male patient (49 years old) was taken to Hospital 108 for emergency treatment 5 hours after being shot in the left temple. Immediately upon receiving the patient, the doctors performed a CT scan of the patient's brain. The results showed that the bullet had penetrated deep into the anterior skull base, close to the left eye socket, creating a fracture tunnel from back to front, from outside to inside.

Along with that, the patient also had a sunken frontal bone fragment, fluid collection and hematoma in the frontal sinus, ethmoid sinus, and left maxillary sinus. This is a complex injury, located near important structures such as the optic nerve, oculomotor nerve and air sinuses in the skull base, requiring absolute precision in surgery to avoid serious complications.

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CT scan of the patient's skull clearly shows the location of the bullet in the base of the skull.

Before this case, with the support of the S8 Navigation system, the surgical team of Hospital 108 quickly determined the exact location of the bullet and broken bone fragments, thereby planning to approach the injury in the safest and most effective way. Thanks to the precise positioning, the doctor made a very small incision, following the original wound path while still being able to remove the entire foreign object, minimizing damage to healthy brain tissue and surrounding soft tissue.

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Bullet and small pieces of steel were removed from the patient's head by doctors.

According to doctors, the S8 Navigation system uses pre-operative CT and MRI data to create a 3D map of the brain, helping doctors track the location of surgical instruments in real time. Thanks to that, the surgery was safe, the bullet and broken bone fragments were completely removed, reducing the risk of post-operative complications. After surgery, the patient was awake, had good vision in the left eye, and recovered positively.


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