Penetrating diametrical wounds of the head by an arrow

Penetrating crossbow head wounds are rare. However, such patients commonly belong to the most severe category of injured persons, with a high mortality rate among these ones. Such wounds are characterized by complex damage patterns with significant destruction of brain matter by an arrow as well as frequent damages of paranasal sinuses. Currently, there is no complete consensus about treatment of such patients. Two clinical cases of patients with head penetrating wounds because of an arrow are presented in this article.