Facial gunshot wounds: A 4-year experience

Gunshot Caused Facial Injury Combined with Lower Cervical Spine Injury: a Case Report

“…Facial treatment of gunshot injury could be divided into four steps which are meant to (a) maintain airway patency, (b) keep bleeding under control, (c) assess whether or not the injury is accompanied by any damage of large blood vessels or vital organs and (d) correct/fix the facial deformity (10). Treatments of spinal injury by gunshot focus on the stability of spinal reconstruction, recovery of neural function, prevention of the occurrence of complications and so on.…”

Is tracheostomy suitable for securing airway after facial firearm injuries?

“…In these patients, tracheostomy is difficult to obtain an orotracheal route because of bleeding and distortion of facial structures or subsequent swelling. [1] Once the airway is controlled, resuscitation should be followed.…”

“…Hence tracheostomy may cause life-threatening complications and it should be performed with caution. [1] Here, we present an 11-year-old boy who underwent tracheostomy after a facial firearm injury complicated with pneumothorax and subcutaneous emphysema 8 hours after the procedure.…”

Management of ballistic soft tissue injuries: a review

“…The timing of the reconstruction is a subject for debate. Some authors favour immediate definitive reconstruction within 24 to 48 hours [27] whilst others opt for an early reconstruction within the first 7 days [18,20,22,24,26,28]. For injuries of the head and neck, free flap transfers (fasciocutaneous, osteocutaneous or musculocutaneous) for the reconstruction of soft tissue and bony injuries have resulted in good outcomes [18,[20][21][22][23][24][25][26][27][28].…”