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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Italian Journal of Maxillofacial Surgery 2006 April-December;17(1-3):19-23
The treatment of maxillofacial gunshot wounds
Tartaro G., Rauso R., Corzo L., Diomajuta A., Itro A.
Department of Pathology, Head, Neck and Oral Surgery Service of Maxillo Facial Traumatology University of Naples Naples, Italy
Aim. Facial gunshots can cause extensive distruction and avulsion of bone and soft tissues in the oral and maxillofacial region which may be very difficult to reconstruct and restore to normal. The aim of this study is to propose our approach to facial gunshot wounds.
Methods. A total of 8 patients were considered between 2000 and 2003. Patients’ criteria were: all maxillo-facial wounds derived by a single gunshot; gunshot not determined a primary brain involvement; no other concomitant body injuries were present.
Results. Seven of the eight patients were male; patients ranged between 32 and 52 years old. The most commonly injured facial bones were maxilla and jaw. A 3 year follow-up let the Authors examine the result of wound healing, function and aesthetic outcomes. One of the 8 patients died because of generalized sepsis 2 weeks after surgery; in 3 cases we had a wound dehiscense. None of the soft tissue flaps slaughed or developed necrosis. Four patients were admitted for further reconstruction.
Conclusion. Every facial gunshot wound has a different surgical approach. From the point of view of the Authors, aesthetic and functional results must be reached in the first stage surgical approach, when this is not possible, the aesthetic result must be delayed.