Technique of removal of an impacted sharp object in a penetrating head injury using the lever principle

Penetrating head injuries can be difficult to manage as the extensive surge ry which may be required can result in severe morbidity and mortality in so me patients. A conservative surgical approach with a "pull and see" policy was adopted successfully in a described case. Extraction can be achieved by using the mechanical advantage of the lever principle. By this method whil e removing the object any movements of sharp edges which will cause seconda ry damage can be reduced to a minimum.