A case of multiple facial gunshot wounds.
- Author:
Jong Ryoul KIM
1
;
Dae Seok HWANG
Author Information
1. Department of Oral &Maxillofacial Surgery, College of Dentistry, Pusan National University, Korea. jorkim@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Gunshot wound;
Facial injury
- MeSH:
Emergencies;
Facial Injuries;
Graft Rejection;
Health Care Costs;
Humans;
Length of Stay;
Middle Aged;
Neck;
Rehabilitation;
Specialization;
Wounds and Injuries;
Wounds, Gunshot*
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2003;29(1):60-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gunshot injuries can range from the most minor to the life-threatening. Multidisciplinary care is required for successful management of patients, In the acute phase, care may involve emergency surgeons, anaesthesists, neurosurgeons, ophthalmic surgeons, vascular surgeons, ENT specialist in addition to the oral and maxillofacial surgeons. Afterwards, definitive treatment of facial gunshot injuries depends ultimately on the abilities and skills of the oral and maxillofacial surgeons, and their appreciation of such injuries. The timing and sequence of the surgical procedures used for reconstruction and rehabilitation of maxillofacial gunshot injuries are crucial to a successful outcome and aesthetic result. If incorrect, they may lead indefinitely to infection, graft rejection, wound dehiscence with consequent multiple revisional operations and complication which will prolong hospital stay and increase treatment costs and morbidity on those patients. We present a gunshot case of a 46-year-old man who tried to commit sucide, and have avulsive and penerating wounds on the face and the neck. We removed the scattered bullets and fragments successfully and the wounds were closed primarily.
