Open AccessExtensive gunshot wound to the face: a case report
Author(s) -
Tales Gabriel de Souza Cerioni,
Rafael Jorge Ruman,
Willian Jamil Hassanieh,
Gustavo Rodrigues Manrique,
Wladimir Gushiken de Campos,
Alexandre Viana Frascino,
Flávio Hojaij
Publication year - 2021
Publication title -
clinical and laboratorial research in dentistry
Language(s) - English
Resource type - Journals
ISSN - 2357-8041
DOI - 10.11606/issn.2357-8041.clrd.2021.183532
Subject(s) - gunshot wound , masticatory force , medicine , facial nerve , jaw fracture , blood supply , surgery , internal fixation , mandibular fracture , dentistry , gunshot injury , mandible (arthropod mouthpart) , bone healing , facial trauma , facial paralysis , oral and maxillofacial surgery , botany , biology , genus
Facial fractures caused by gunshots are a major challenge for oral and maxillofacial surgeons. Underdeveloped countries present a higher rate of homicides committed by gunshots than developed countries. This case report presents a 25 year-old male victim of a gunshot wound to the mandible, evolving into a complex fracture. The fracture was treated using rigid internal fixation. After 18 months of follow-up, the patient presents good facial appearance and masticatory activity. The gunshot caused the permanent paralysis of the right mandibular branch of the facial nerve. We managed to preserve the involved teeth and mandibular integrity, with complete bone healing. Despite the late infection following plate fixation, healing occurred without further complications, indicating that blood supply was maintained.