Vol. 6, Issue 4

Volume 6, Issue 4

Pages 65–66

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Gunshot Fracture of the Mandible

Tetiana O. Shamovaa, Viacheslav P. Blyzniukb more
a Tetiana O. Shamova

Radiologist, Medical Center “Asklepii”, Kyiv Regional Clinical Hospital, Kyiv, Ukraine. shamovatatyana@gmail.com

b Viacheslav P. Blyzniuk

Doctor-Surgeon-Dentist, Center of Maxillofacial Surgery and Dentistry, Kyiv Regional Clinical Hospital, Kyiv, Ukraine (place of work at moment of material collection).

April 29, 2022

https://doi.org/10.23999/j.dtomp.2022.4.3

J Diagn Treat Oral Maxillofac Pathol 2022;6:65–6.

Under a Creative Commons license

HOW TO CITE THIS ARTICLE

Shamova TO, Blyzniuk VP. Gunshot fracture of the mandible. J Diagn Treat Oral Maxillofac Pathol 2022;6(4):65–6.

ARTICLE

PANEL A.

PANEL B.

A 51-year-old male was transferred to the hospital with a gunshot injury of the lower face. Three-dimensional scan of the multislice computed tomography (MSCT) revealed a severely comminuted fracture (Panel A: arrow) of the left mandibular body at the inferior margin area (what corresponds to the gunshot marginal mandible fracture diagnosis among 12 variants of gunshot mandibular fractures)1. Also, the implantation of multiple different shape radiopaque foreign bodies (arrowhead) was also visualized along with metal artifacts. A rotated coronal scan of the MSCT (Panel B) showed linear continuation (waved arrow) of the fracture to the ramus (visualized as incomplete fracture)2, partially splitting it into medial and lateral fragments. Although the incomplete fractures are more common for the pediatric jaw fractures, in this gunshot injury the MSCT data also indicates an incomplete fracture. In this particular case, it was a gunshot compound fracture (also known as open fracture) of the mandible.3 Intermaxillary fixation (also known as maxilla-mandibular4 or maxillomandibular fixation5) was performed for 3 weeks without open intervention in the mandible margin area. Antibiotic therapy (Ceftriaxone 1.0 g 2 times daily applying intramuscular administration) was done during 7 days after trauma. ■ DTJournal.org

REFERENCES (5)

  1. Tymofieiev OO. Manual of maxillofacial and oral surgery [in Russian]. 5th ed. Kyiv: Chervona Ruta-Turs; 2012.

  2. Ellis III E, Schubert W. Terminology: mandibular fractures [document on the internet]; Mar 16, 2022 [cited 2022 Mar 16]. Available from: Link

  3. David JD. Facial trauma. In: Farhadieh RD, Bulstrode NW, Mehrara BJ, Cugno S. Plastic surgery - principles and practice. 1st edition. Elsevier; 2021:480–519. Crossref

  4. Rhodes JL, Lew F, Cho BH, Agarwal V. Gunshot wounds to the mandible: a 21-year urban trauma center’s experience. Plast Surg Mod Tech 2017;2(3):124. Crossref

  5. Khatib B, Gelesko S, Amundson M, Cheng A, Patel A, Bui T, Dierks EJ, Bell RB. Updates in management of craniomaxillofacial gunshot wounds and reconstruction of the mandible. Facial Plast Surg Clin North Am 2017;25(4):563–76. Crossref