A CASE OF MULTIPLE FACIAL GUNSHOT WOUNDS

다발성 안면부 총상환자의 증례보고

  • Kim, Jong-Ryoul (Department of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Hwang, Dae-Seok (Department of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University)
  • 김종렬 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 황대석 (부산대학교 치과대학 구강악안면외과학교실)
  • Published : 2003.02.28

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.

Keywords

References

  1. Ordog GJ, Wasserberger J, Scatx I, et al. Gunshot wounds in children under 10 years of age: A new epidemic. AJDC 142:618, 1988.
  2. H. Behnia, M.H.K. Motamedi. Reconstruction and rehabilitation of short-range,high-velocity gunshot injury to the lower face: a case report. J Cranil Maxillofac Surg 25:220, 1997.
  3. Thomas E. Oshorne, Robert A. Bays. Pathophysiology and management of gunshot wounds to the face in Oral and maxillofacial trauma. 2nd edition, W B Saunders company. 1(30), 948, 1997.
  4. 대한구강악안면외과학회. 미사일손상(총상포함), 전상. 구강악안면외과학 교과서. 1st edition. 337, 1998.
  5. Swan KG, Swan RG: Gunshot wounds in Pathophysiology and Management. Littleton, MA, PSG Publishing, 1980.
  6. Jacobs JR. Maxillofacial trauma in An International Perspective. New York, Praeger, 1981.
  7. Owen-Smith MS. High velocity missile wounds. London, Edward Arnold, 1981.
  8. 김명진, 김민형. 안면부 총상환자의 치료에 관한 문헌적 고찰 및 증레보고. 대한구강악안면외과학회지. 7(1), 51, 1981.
  9. P. Banks, S. Melloras, I.R. Haywood, et al. Gunshot wounds in Principles of oral and maxillofacial surgery. (ed) Larry J. Peterson et al. J.B. Lippincort company. 1(17), 665, 1992.
  10. 김수관. 총상으로 인한 이물질 환자의 치험 2증례. 대한구강외과학회지. 22(1), 127, 1996.