Aim: is to report a case of trans-oral pin, penetrating base of skull and upper cervical region, which is rarely reported in the literatures and to compare it with other socksmith santa cruz studies reporting similar case.Patients Methods: the details, the presentation, both clinical and radiological finding, and surgical approach of such a case are presented.Results: the diagnosis was verified with plain x-rays and C.T.scan with bone study.
Surgery was conducted under G.A., the metabo 15-gauge finish nailer cordless patient was recovered well without neurological deficit.Conclusion: meticulous and close pre-operative care with safe operator and careful fellow up is mandatory.Surgery only offers the best chance of care.