Early Management of Gunshot Injuries to the Face in Civilian Practice

Abstract

Gunshot injury to the face in civilian violence is a "benign" condition as long as the Patient's airway is kept patent and hemorrhage is controlled. Early operative intervention for repair of the soft and skeletal facial structures leads to satisfactory results. Mortality directly related to the facial trauma is uncommon.

Maxillofacial Gunshot Injuries at an Urban Level I Trauma Center—10-Year Analysis

“…Of these, 136 (6.9%) were GSW to the face, a percentage consistent with previous reports (6 -8%) 7,8,12 (Figure 1). 90 of these 136 patients with facial GSW were evaluated by the OMS department (66%), and 55 patients met inclusion criteria and were ultimately selected for the study.…”

Maxillofacial Reconstruction of Ballistic Injuries

“…Generally, treatment of ballistic injuries mandate prompt assessment and early comprehensive management in the first operation [1][2][3]. However, some [4,5] feel that delayed reconstruction of ballistic injuries, avoidance of mini-plates, use of small incisions, minimal exposure of bony fragments, external pin fixations, and avoidance of intraosseous wiring is safer (fearing necrosis, infection and other complications).…”

Penetrierende Gesichts- und Halsverletzungen

“…Der Gesichtsbereich lässt sich unter traumatologischen Gesichtspunkten in 3 Regionen unterteilen [25]: F obere Gesichtsregion (Orbita und naso ethmoidaler Komplex), F mittlere Gesichtsregion (Jochbein, Maxilla, untere Nasenabschnitte) und F untere Gesichtsregion (Mandibula und Zunge).…”

“…B. mit Bauchtüchern, erforderlich werden. In der Regel können die Tamponaden nach 24-48 h wieder entfernt werden, ohne dass es zu erneuten Blutungsereignissen kommt [25].…”