Citation

Yilmaz B, Yeşiloğlu N, Firincioğullari R, Gökkaya A, Özbey R, Özgür M. J. Craniofac. Surg. 2015; 26(1): 167-169.

Affiliation

From the *Department of Plastic Reconstructive and Aesthetic Surgery, Antakya State Hospital, Hatay, Turkey; †Department of Plastic Reconstructive and Aesthetic Surgery, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Istanbul; Turkey, ‡Department of Plastic Reconstructive and Aesthetic Surgery, Tarsus Medical Park Hospital, Tarsus, Turkey; and §Department of Anesthesia and Reanimation, Antakya State Hospital, Hatay, Turkey.

Copyright

(Copyright © 2015, Lippincott Williams and Wilkins)

DOI

10.1097/SCS.0000000000001101

PMID

25569397

Abstract

In this study, a rare kind of injury due to smoke bomb capsule impaction to midface and under the cranial base is presented, and maneuvers to reduce mortality are discussed.

Three male patients were presented with impacted smoke bomb capsules into the midface and under the cranial base structures. Midface structures, anterior cranial base, and, in 2 patients, unilateral eye were severely damaged.

Two patients died after the initial emergency operations because their lung disease progressed to acute respiratory distress syndrome. One of the patients lived, and soft tissue reconstruction was achieved by using temporal transposition and cheek advancement skin flaps with split-thickness skin graft from donor site.

However, craniofacial destruction is important in these patients; a multidisciplinary approach is needed for the treatment of direct smoke bomb injuries because the patients experienced chemical burn and acute trauma. The timing of maxillofacial reconstruction is also a question in these specific patients.

Language: en