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

Norris, Olena; Mehra, Pushkar; Salama, Andrew

doi:10.1016/j.joms.2015.03.019

Cited by 31 publications

(26 citation statements)

References 15 publications

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“…The patient presented in the case is another prime example of how a gunshot injury can represent a real challenge at the moment of trying to give an immediate and appropriate response. The patient that attended the medical service fell in an age above (25-30 years old average) what is reported in different studies of firearm injuries (2,6,10,11,(13)(14)(15). Regarding the sex, he fell in concordance of the majority of studies that mention that men have a higher prevalence of these types of injuries (3,5,6,10,11,13).…”

Section: Discussionmentioning

confidence: 79%

“…The patient that attended the medical service fell in an age above (25-30 years old average) what is reported in different studies of firearm injuries (2,6,10,11,(13)(14)(15). Regarding the sex, he fell in concordance of the majority of studies that mention that men have a higher prevalence of these types of injuries (3,5,6,10,11,13). It has been reported that regarding non intentional firearm injuries, those that happen by a rifle represent the lowest percentage, after handgun, and shotgun injuries (16); this gives the case a more interesting take on the rarity of these lesions.…”

Section: Discussionmentioning

confidence: 79%

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Surgical Management of a Firearm Injury in the Infraorbital Area

et al. 2017

Odovtos - Int J Dent Sc

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The surgical management of firearm injuries to the zygomaticomaxillary complex is a topic that needs to be addressed with much care. The complications that can arise during treatment, as well as the potential residual problems that can appear, lead to the need of recognizing these injuries as a maxillofacial treatment challenge. The infraorbital zone is the second most common area of injury in the face, accounting for up to 45% of midfacial fractures. The case presented is of a 54 year old man affected by the backward firing of a gun rifle that caused an oblique impaction towards the posterior lateral inferior side of the infraorbital complex. He was rapidly stabilized with an antibiotic and analgesic scheme, yet presented the following: a comminute fracture of the orbit floor with consequent communication towards the maxillary sinus, a non-displacing fracture of the frontomalar suture, a non-displacing fracture of the zygomatic arch and a lesion with loss of osseous tissue in the petrous region of the temporal bone. Rigid fixation followed stabilization, and the area was covered with a titanium mesh. Occasional tinnitus and photopsia were reported by the patient upon return, yet all other evaluated factors were in order. There have been different forms of management described in the literature, and it is recognized that each patient has different needs, therefore each case must be closely evaluated, so it is approached in the most appropriate manner.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 79%

Surgical Management of a Firearm Injury in the Infraorbital Area

et al. 2017

Odovtos - Int J Dent Sc

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“…Ancak özellikle baş-boyun bölgesinde oluşan savaş yaralanmalarında tedavinin zamanlaması ve tedavi/rekonstrüksiyon seçenekleri ile ilgili ortak bir fikir birliği bulunmamaktadır (2,17) . Bu tarz hastalar ile sık karşı-laşılmıyor olmasının beraberinde getirdiği kurumsal bilgi eksiklikleri nedeniyle tedavi seçenekleri merkezler ve hastalar arasında ciddi düzeyde farklılıklar gösterebilmektedir.…”

Section: Introductionunclassified

Basic Principles of Plastic Surgical Approach to Patients with High Energy Traumas

Özkaya¹,

Canli²,

Aysal³

2017

Okmeydani Medical Journal

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“…In a retrospective study about body wounds caused by war projectiles, 6.9% of injuries affected the face 1 . The majority of such maxillofacial gunshot wounds were caused by suicide attempts, mostly committed by young men 1 . In general, facial gunshot injuries have fatal results.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of projectile in the infratemporal fossa. Case report

Grossmann¹,

Ferreira²

2016

Revista Dor

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BACKGROUND AND OBJECTIVES:Gunshot wounds may have fatal results. Even when not causing major injuries to soft and hard tissues, there may be other severe problems. This study aimed at reporting the case of a projectile located in the left infratemporal fossa and at discussing treatment, risks and complications. CASE REPORT: Male patient, 18 years old, suffered a gunshot wound which has penetrated the face by the left zygomatic region, and was lodged in the homolateral infratemporal fossa. This has caused jaw function impairment and pain. Foreign body was surgically removed by preauricular access and patient was then submitted to physiotherapy. After treatment, temporomandibular joint function was reestablished and esthetic results were considered excellent without sequelae. CONCLUSION: Management of patients hit by projectiles is more complex when these are located in an area of difficult access and close to noble structures. Radiographic techniques obtained by means of different planes allow the accurate location of the object. There may be major deformity and functional incapacity, especially if the facial nerve is affected during bullet trauma or during surgery. Although there were no nervous injuries, functional impairment of orofacial structures was decisive to indicate the surgical procedure. Surgical removal of the projectile from the infratemporal fossa, combined with postoperative physiotherapy, has shown to be an effective treatment. Keywords: Infratemporal fossa, Projectile, Rehabilitation, Temporomandibular joint. Surgical treatment of projectile in the infratemporal fossa. Case report RESUMO JUSTIFICATIVA E OBJETIVOS:Ferimentos causados por arma de fogo podem ter resultados fatais. Mesmo que a bala não cause grandes lesões para os tecidos moles e duros, outros problemas graves podem ocorrer. O objetivo deste estudo foi relatar o caso de um projétil localizado na fossa infratemporal esquerda, discutir o tratamento cirúrgico, seus riscos e complicações. RELATO DO CASO: Paciente do gênero masculino, 18 anos, sofreu um ferimento por arma de fogo que penetrou na face pela região zigomática esquerda, alojando-se na fossa infratemporal homolateral. Esse ocasionou comprometimento da função mandibular e dor. O corpo estranho foi removido cirurgicamente por meio do acesso pré-auricular e o paciente foi posteriormente submetido a sessões de fisioterapia. Após o tratamento, foi reestabelecida a função da articulação temporomandibular, a dor desapareceu e os resultados estéticos foram considerados excelentes, sem sequelas. CONCLUSÃO: O manuseio dos pacientes acometidos por projétil torna-se mais complexo quando esse está localizado em uma área de difícil acesso e ao lado de estruturas nobres. Técnicas radiográficas, obtidas por meio de diferentes planos, permitem uma localização precisa do objeto. Grande deformidade e incapacidade funcional podem ocorrer, especialmente, se o nervo facial é afetado durante o trauma balístico ou durante o ato cirúrgico. Apesar de não haver lesões nervosas, o comprometime...

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

Cited by 31 publications

References 15 publications

Surgical Management of a Firearm Injury in the Infraorbital Area

Surgical Management of a Firearm Injury in the Infraorbital Area

Basic Principles of Plastic Surgical Approach to Patients with High Energy Traumas

Surgical treatment of projectile in the infratemporal fossa. Case report

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