TY  - JOUR
PY  - 2015//
TI  - Maxillofacial gunshot wounds
JO  - Prehospital and disaster medicine
A1  - Maurin, Olga
A1  - de Régloix, Stanislas
A1  - Dubourdieu, Stephane
A1  - Lefort, Hugues
A1  - Boizat, Stéphane
A1  - Houze, Benoit
A1  - Culoma, Jennifer
A1  - Burlaton, Guillaume
A1  - Tourtier, Jean-Pierre
SP  - 316
EP  - 319
VL  - 30
IS  - 3
N2  - 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. Maurin O , de Régloix S , Dubourdieu S , Lefort H , Boizat S , Houze B , Culoma J , Burlaton G , Tourtier JP. Maxillofacial gunshot wounds. Prehosp Disaster Med. 2015;30(3):1 4.<p />  <p>Language: en</p>
LA  - en
SN  - 1049-023X
UR  - http://dx.doi.org/10.1017/S1049023X1500463X
ID  - ref1
ER  -