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Injury to supraorbital area—should this be referred to as a head injury or facial injury?
  1. B P Shravat,
  2. T S Huseyin,
  3. K A Hynes
  1. Accident and Emergency Department, Barnet Hospital, Barnet, UK; brijendra.shravat@bcf.nhs.uk

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    The National Institute for Health and Clinical Excellence (NICE) published clinical guidelines for the management of head injury (NICE HI) in 2003.1 There is only one indication for a skull x ray in an adult. This is where computed tomography (CT) scanning resources are unavailable. Before the publication of NICE HI, patients with a history of trauma and a large tender swelling in the frontal area would have x rays of the skull taken,2 which included a lateral view of the frontal bone. We describe a case with no NICE HI indications for skull x rays or head CT …

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