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Maxillofacial Gunshot Wounds

Published online by Cambridge University Press:  14 April 2015

Olga Maurin ,
Stanislas de Régloix ,
Stéphane Dubourdieu ,
Hugues Lefort ,
Stéphane Boizat ,
Benoit Houze ,
Jennifer Culoma ,
Guillaume Burlaton  and
Jean-Pierre Tourtier
Olga Maurin*
Affiliation:
Emergency Department, Fire Brigade of Paris, Paris, France
Stanislas de Régloix
Affiliation:
Military Hospital of Clamart, Head and Neck Surgery Department, Clamart, France
Stéphane Dubourdieu
Affiliation:
Emergency Department, Fire Brigade of Paris, Paris, France
Hugues Lefort
Affiliation:
Emergency Department, Fire Brigade of Paris, Paris, France
Stéphane Boizat
Affiliation:
Emergency Department, Fire Brigade of Paris, Paris, France
Benoit Houze
Affiliation:
Emergency Department, Fire Brigade of Paris, Paris, France
Jennifer Culoma
Affiliation:
Emergency Department, Fire Brigade of Paris, Paris, France
Guillaume Burlaton
Affiliation:
Emergency Department, Fire Brigade of Paris, Paris, France
Jean-Pierre Tourtier
Affiliation:
Emergency Department, Fire Brigade of Paris, Paris, France
*
Correspondence: Olga Maurin, MD Emergency Department Fire Brigade of Paris 1, place Jules Renard 75017 Paris, France E-mail: olgamaurin@free.fr
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Abstract

The majority of maxillofacial gunshot wounds are caused by suicide attempts. Young men are affected most often. When the lower one-third of the face is involved, airway patency (1.6% of the cases) and hemorrhage control (1.9% of the cases) are the two most urgent complications to monitor and prevent. Spinal fractures are observed with 10% of maxillary injuries and in 20% of orbital injuries. Actions to treat the facial gunshot victim need to be performed, keeping in mind spine immobilization until radiographic imaging is complete and any required spinal stabilization accomplished. Patients should be transported to a trauma center equipped to deal with maxillofacial and neurosurgery because 40% require emergency surgery. The mortality rate of maxillofacial injuries shortly after arrival at a hospital varies from 2.8% to 11.0%. Complications such as hemiparesis or cranial nerve paralysis occur in 20% of survivors. This case has been reported on a victim of four gunshot injuries. One of the gunshots was to the left mandibular ramus and became lodged in the C4 vertebral bone.

MaurinO, de RégloixS, DubourdieuS, LefortH, BoizatS, HouzeB, CulomaJ, BurlatonG, TourtierJP. Maxillofacial Gunshot Wounds. Prehosp Disaster Med. 2015;30(3):14.

Keywords

airway managementgunshot injuriesmaxillofacial woundsspine immobilization
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 30 , Supplement 3 , June 2015 , pp. 316 - 319
Copyright
© World Association for Disaster and Emergency Medicine 2015 

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