Journal of Oral Health and Community Dentistry

Register      Login

VOLUME 8 , ISSUE 1 ( January-April, 2014 ) > List of Articles

CASE REPORT

Management of Intraoral Gunshot Injury – A Case Report

A Agarwal, A Kumar, M Goel, P Puri, K Priya

Citation Information : Agarwal A, Kumar A, Goel M, Puri P, Priya K. Management of Intraoral Gunshot Injury – A Case Report. J Oral Health Comm Dent 2014; 8 (1):58-61.

DOI: 10.5005/johcd-8-1-58

License: CC BY-NC 3.0

Published Online: 01-01-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Oral and Maxillofacial gunshot injuries are usually lethal due to close proximity with the vital structures. The severity of injury varies according to the caliber of the weapon used and to the distance from which the patient is shot. A case of gunshot injury that was successfully managed by surgical exploration and removal of bullet from left maxillary antrum under local anesthesia is presented. The initial care of facial gunshot wounds strictly adheres to the basics of trauma resuscitation. Early and appropriate surgical management have proved to be influential on the final outcome and aesthetic result. Treatment of gunshot injuries should be planned and carried out carefully. It takes different stages and procedures to achieve the targeted treatment plan. Prevention and control of infection are important in the success of the treatment.


PDF Share
  1. Facial gunshot wounds: a 4-year experience. J Oral Maxillofac Surg 2001:59:277–82.
  2. Low-velocity gunshot wounds to the paranasal sinuses. Otolaryngol Head Neck Surg 1997;116:372–78.
  3. Treatment of comminuted mandibular fractures by closed reduction. J Oral Maxillofac Surg 1996;54:320.
  4. Experience with regioinal flaps in the comprehensive treatment of maxillofacial soft-tissue injuries in warfare victims. J Craniomaxillofac Surg 1999;27:256.
  5. Reconstruction and rehabilitation of short-range, high-velocity gunshot injury to the lower face. J Craniomaxillofac Surg 1997;25:220.
  6. Pathophysiology and management of gunshot wounds to the face, in Fonseca RJ, Walker RV (eds): Oral and Maxillofacial Trauma, vol 2. Philadelphia, PA, Saunders, 1991, pp 672–79.
  7. The effect of retained bullets on body lead burden. J Trauma 2001;50:892–99.
  8. Management of War Injuries to the Jaws and Related Structures. Washington, DC, US Government Printing Office 1977;p36.
  9. Civilian gunshot wounds and ballistics: Dispelling the myths. Emerg Med Clin North Am 1998;16:17.
  10. The idolatry of velocity, or lies, damn lies, and ballistics. J Trauma 1980;20:1068.
  11. Washington, DC, National Rifle Association Publications 1989.
  12. Small-vessel pathology and anastomosis following maxillofacial firearm wounds: An experimental study. J Oral Maxillofac Surg 1991;49:348.
  13. Brain injury after gunshot wounding: Morphometric analysis of cell destruction caused by temporary cavitation. J Neurotrauma 2000;17:155.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.