头面部之较深部位金属性异物,特别是颞下窝或翼颚窝异物,病人如无临床症状,多未作任何处理,故文献报导甚少。一九五七年彭氏等报导三例。我院从一九七二～一九七七年五年中,所遇爆炸伤后颞下窝之金属性异物二例,摘除手术途径有所改进,今介绍如下。供同道参考指教。病例报告例一:赵××,男性,28岁,农民,住院号155028,一九七二年七月十七日因左面部炸伤一月入院。现病史:一九七二年六月十六日打火药枪,因枪筒爆炸,后塞坐打入左面部,当时局部炸伤出血,但神智清醒。即送县医院,住院期间,有时暂时性昏迷, Head deep facial metallic foreign body, especially the infratemporal fossa or wing palate foreign body, the patient without clinical symptoms, and more without any treatment, so little literature reported. In 1957, Peng et al. Reported three cases. Our hospital from 1972 to 1977 in five years, encountered in the infratemporal fossa after blast injury of metallic foreign body two cases, removal of surgical approaches have improved, now introduced as follows. For fellow reference. Case Report One example: Zhao XX, male, 28 years old, farmer, hospital number 155028, July 17, 1972 for the left facial injury January admission. Current medical history: On June 16, 1972, a gun was fired. After the barrel was exploded, it was seized into the left side of the body. At that time, it was partially injured and hemorrhaged, but it was sober. That is, to the county hospital, hospitalized, and sometimes temporary coma,