Nakhon Ratchasima, Thailand — A 21-year-old man has survived a life-threatening facial injury after doctors successfully removed a metal spear more than one metre long from his face in a complex emergency operation.
The incident occurred on April 30, when the victim, identified as Chaiwat Nachari from Chakkarat district, was struck by a projectile that entered just above his upper lip. He was initially treated at a local hospital before being transferred to Maharaj Nakhon Ratchasima Hospital due to the severity of his injuries.
Complex Rescue and Surgical Operation
Upon arrival, emergency doctors assessed the situation and called for assistance from the Hook 31 Rescue Foundation, which provided specialized equipment, including a plasma cutting tool.
Rescue workers spent over an hour carefully cutting the exposed portion of the spear to avoid causing further damage to critical facial and cranial structures. Once the external section was safely removed, surgeons proceeded with a delicate operation to extract the remaining portion embedded inside the patient’s face.
The surgery was completed successfully, and the patient was stabilized.
Attack After Temple Fair
Preliminary reports indicate that the young man had been returning from a temple fair in Chakkarat when he was attacked by a rival using a spear gun. Friends immediately transported him to hospital, a rapid response that doctors say likely played a crucial role in saving his life.
Investigation Underway
Authorities are continuing to investigate the assault and are working to identify and apprehend the suspect responsible. Meanwhile, medical teams are closely monitoring the patient’s recovery following the operation.
Importance of Emergency Coordination
The case underscores the critical importance of coordination between medical teams and rescue units in handling unusual and highly complex trauma cases. The use of specialized tools, such as plasma cutters, proved essential in enabling surgeons to carry out the procedure safely and effectively.

