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2017, Number 2

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Rev Odont Mex 2017; 21 (2)

Gunshot caused facial wound. Literature review and clinical study of three cases

Palacios VDE, Miranda VJE, Calderón LAS

Language: Spanish
References: 21
Page: 127-134
PDF size: 533.67 Kb.


ABSTRACT

Treatment of gunshot wounds in the maxillofacial region is a complex subject, especially controversial with respect to treatment time. Current literature supports immediate treatment rather than late care, claiming to achieve better results. Wounds are heterogeneous, with characteristics that must be analyzed so as to define treatment according to Kanzanjian and Converse’s principles, but always adapting to specific needs. Handling is dependent upon type of weapon, bullet’s disfiguring characteristics, kinetic energy, place of impact as well as patient’ s general health circumstances. The aim of the present research was to conduct a bibliographic review and expose our experience in maxillofacial gunshot wound treatment. We hereby document treatment of three facial gunshot wound patients who sought treatment at the Regional Hospital General Ignacio Zaragoza, Mexico City, Mexico.


REFERENCES

  1. Instituto Nacional de Estadísticas y Geografía (INEGI). Clasificación estadística de delitos 2014, México: INEGI; 2015.

  2. Stefanopoulos P, Filippakis O, Soupiou V, Pazarakiotis C. Wound ballistics of firearm-relaterd injuries-Part 1: Missile characteristics and mechanism of soft tissue wounding. Int J Oral Maxillofac Surg. 2014; 43: 1445-1458.

  3. Stefanopoulos PO, Soupiou V, Pazarakiotis C, Filippakis V. Wound ballistics of fiream-relaterd injuries-Part 2: Missile characteristics and mechanism of soft tissue wounding. Int J Oral Maxillofac Surg. 2015; 44: 67-68.

  4. Magaña I, Torres J, García-Nuñez Ñ. Nuñez-Cantú O. Conceptos básicos de balística para el cirujano general y su aplicación en la evaluación del trauma abdominal. Cirujano General. 2011; 33 (1): 48-53.

  5. Ruiz L, Herrera J, Díaz J, González J, Belmonte R, García-Perla A, Gutiérrez J. Manejo terapéutico inicial de las heridas por arma de fuego en el territorio maxilofacial. Rev Esp Cir Oral y Maxillofac. 2006; 28 (5): 277-286.

  6. Powers DB, Robertson OB. Ten common myths of ballistic injuries. Oral Maxillofacial Surg Clin North Am. 2005; 17 (3): 251-259.

  7. León M, Nuñez C, Quezada G, Molano J, González J. Manejo de heridas por arma de fuego civiles a nivel maxilofacial. Revista Dental de Chile. 2012; 103 (3): 30-36.

  8. Fackler M. What’s wrong with the ballistic literatura and why. Letterman army institute of research report. J Internal Wound Ballistic Assoc. 2001; 5 (1): 37-42.

  9. Cunningham LL, Haug RH, Ford J. Firearm injuries to the maxillofacial region: an overview of current thoughts regarding demographics, pathophysiology, and management. J Oral Maxillofac Surg. 2003; 61: 932-942.

  10. Hazinski M. Libro del estudiante de SVB/BLS para profesionales de la salud. In: Gelpi F, García A, Martin A, Bibiano C, Vázquez M. editors. Conceptos generales. Texas; American Heart Association Press; 2011. p. 1-10.

  11. Demetriades D, Chahwan S, Gomez H, Falabella A, Velmahos G, Yamashita D. Initial evaluation and management of gunshot wounds to the face. J Trauma. 1998; 45: 39-41.

  12. Chen AY, Stewart MG, Raup G. Penetrating injuries of the face. Otolaryngol Head Neck Surg. 1996; 115: 464-470.

  13. Byone RP, Kerwin AJ, Parker HH 3rd, Nottingham JM, Bell RM, Yo MJ et al. Maxillofacial injuries and life-threatening hemorrhage: treatment with transcatheter arterial embolization. J Trauma. 2003; 55: 74-79.

  14. Alper M, Totan S, Çankayali R, Songür E. Gunshot wounds of the face in attempted suicide patients. J Oral Maxillofac Surg. 1998; 56: 930-934.

  15. Holmes J. Gunshot injuries. In: Miloro M, Ghali G, Larsen P, Waite P. editors. Peterson’s principles of oral and maxillofacial surgery. 2da ed. Hamilto-London: Bc Decker; 2004. pp. 509-523.

  16. Clark N, Birely B, Manson PN, Slezak S, Kolk CV, Robertson B et al. High-energy ballistic and avulsive facial injuries: classification, patterns, and an algorithm for primary reconstruction. Plast Reconstr Surg. 1996; 98: 583-601.

  17. Becelli R, De Ponte FS, Sassano PP, Rinna C. Firearm injuries in maxillofacial region reconstructive surgery. J Craniofac Surg. 1995; 6: 473-476.

  18. Newlands SD, Samudrala S, Katzenmeyer WK. Surgical treatment of gunshot injuries to the mandible. Otolaryngol Head Neck Surg. 2003; 129: 239-244.

  19. Abreu ME, Viegas VN, Ibrahim D, Valiati R, Heitz C, Pagnoncelli RM et al. Treatment of comminuted mandibular fracture: a critical review. Med Oral Patol Oral Cir Bucal. 2009; 14 (5): E247-251.

  20. Motamedi MH. Primary management of maxillofacial hard and soft tissue gunshot and shrapnel injuries. J Oral Maxillofac Surg. 2003; 61: 1390-1398.

  21. Hollier L, Grantcharova EP, Kattash M. Facial gunshot wounds: a 4-year experience. J Oral Maxillofac Surg. 2001; 59: 277-282.




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