Penetrating Trauma and Facial Fractures: Topics that Cannot Be Ignored During Wartime, A New Section Editor

Ievgen I. Fesenkoa more
a Ievgen I. Fesenko

Managing Editor, JDTOMP, Kyiv, Ukraine. Corresponding author’s address: Editorial office, Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology (JDTOMP). 13-A Simferopolska Street, Kyiv 02096, Ukraine. E-mail: (Ievgen Fesenko)

October 23, 2023

J Diagn Treat Oral Maxillofac Pathol 2023;7: 115–119.

DOI: 10.23999/j.dtomp.2023.10.1  

Under a Creative Commons license


Fesenko II. Penetrating trauma and facial fractures: topics that cannot be ignored during wartime, a new section editor. J Diagn Treat Oral Maxillofac Pathol 2023;7(10):115–119. 


The development of a peer-reviewed journals in the profile of oral and maxillofacial surgery is impossible without the leadership of professionals in each of the sections. One such section is the trauma section. In the conditions of a large-scale war on the European continent and numerous military conflicts of varying intensity in many parts of the globe, the experience of surgeons in the treatment of combat, explosive and gunshot injuries is one of the most relevant areas of head and neck surgery.Among the many types of injuries of the maxillofacial area, fractures of the mandible remain one of the most numerous conditions. In this paper, we will present to your attention a new section and its founding editor, namely Professor Coulthard.


Penetrating trauma, soft tissues injury, gunshot, mandible fracture, facial bones fractures.


A leader is one who knows the way, goes the way, and shows the way.

—John C. Maxwell

American author, speaker, and pastor


Multiple papers dedicated to adult and pediatric trauma were published in 2022 and 2023.1–10 With the beginning of a large-scale war on European continent in 2022, the number of articles devoted to penetrating wounds of the head and neck began to increase.4 Some authors publish wounds received in the war,4 for other authors the subject of penetrating injuries10 became even more relevant in hostilities on different continents and epidemic of gunshot violence11. A lot of unsolved problems remains in such topics as gunshot and non-gunshot maxilla and mandible fractures (Fig 1), in the management of the wounds of the soft tissues. According to Breeze and colleagues (2011) and Rehman and colleagues (2023), the mandible is the most likely structure of the maxillofacial complex to be injured during combat-related trauma.12,13 Moreover, new challenges have arisen in trauma related to the use of new types of weapons, in particular drone attacks.14

The prestigious peer-reviewed journals in our specialty typically have sections devoted to trauma. For example, “Craniomaxillofacial Trauma” in the Journal of Oral and Maxillofacial Surgery and “Trauma” section in the International Journal of Oral and Maxillofacial Surgery. Some publications are so focused on the publication of articles devoted to head and neck injuries that this positioning is even included in their title, such as the journal Craniomaxillofacial Trauma & Reconstruction.


That is why we dared to create a profile section on oral and maxillofacial trauma and invite to the position of editor of the section a person who would be able to successfully manage manuscripts on this topic. There could be no better professional for this position than Professor Coulthard (Fig 2). Paul Coulthard, BDS MDS PhD MFGDP(UK) FDSRCS(Eng) FDSRCS(OS) FDSRCPS(Glas) FFDTRCS(Ed) FDSRCS(Ed) FCGDent is a Professor of Oral and Maxillofacial Surgery in London, United Kingdom.

Other positions and affiliation of Professor Coulthard are:


  • Honorary Consultant in Oral Surgery with Barts Health NHS Trust, London, England.

  • Honorary Dental Consultant Advisor to the Office of the Chief Dental Officer, NHS England and NHS Improvement 2020-2024.

  • Faculty of Medicine and Dentistry Queen Mary University of London.



It is difficult to find another professional with such extensive editorial experience as the Professor Coulthard. He has been an Editor with the Cochrane Collaboration Oral Health Group since 2002, Editor-in-Chief of the Oral Surgery (a journal of the British Association of Oral Surgeons) in 2013-2018 and was a founding Editorial Board Member of the International Journal of Surgery in 2002-2018.


During the seven-year period of our Journal's existence, we published a certain number of articles devoted to various types of traumatic injuries, both soft tissues and bone structures.15–18 So, we are extremely delighted and honored to continue to develop this trauma research direction under the leadership of Professor Coulthard and invite authors to cooperate.


Thank you for the opportunity to contribute to the DT Journal as Founding Section Editor!

―Professor Paul Coulthard

London, United Kingdom

Personal email communication as of September 8, 2023


  1. Shamova TO, Blyzniuk VP. Gunshot fracture of the mandible. J Diagn Treat Oral Maxillofac Pathol2022;6(4):65–6.

  2. Rybak VA. Severe self-inflicted gunshot wound of the face. J Diagn Treat Oral Maxillofac Pathol2022;6(4):63–4.

  3. Hajibandeh J, Peacock ZS. Pediatric mandible fractures. Oral Maxillofac Surg Clin North Am 2023;35(4):555–62.

  4. Gybalo RV, Lurin IA, Safonov V, et al. Retained bullet in the neck after gunshot wounds to the chest and arm in combat patient injured in the war in Ukraine: a case report. Int J Surg Case Rep 2022;99:107658.

  5. Meara DJ. Applications of maxillomandibular fixation, occlusal guidance, and jaw physiotherapy in the management of fractures of the mandible. Otolaryngol Clin North Am 2023;56(6):1113–23.

  6. Kosakowski M, Kanabar M, Hosi K, et al. Mandible fracture patterns in an urban level 1 trauma center: older, more female, lower kinetic energy. J Oral Maxillofac Surg Med Pathol 2023;35(6):508–12.

  7. Datta N, Tatum SA. Reducing risks for midface and mandible fracture repair. Facial Plast Surg Clin North Am2023;31(2):307–14.

  8. Raidoo P, Manzie T, Nathan Vujcich N, et al. Rigid versus non-rigid fixation for bilateral angle of mandible fractures: a 10 year perspective. Adv Oral Maxillofac Surg 2022;8:100374.

  9. Naser ZJ, Aukerman W, Tretter J, Morrissey S. Traumatic superficial temporal artery pseudoaneurysm management following mandible fracture. Trauma Case Rep 2023;43:100753.

  10. Hamilton JM, Chan TG, Moore CE. Penetrating head and neck trauma: a narrative review of evidence-based evaluation and treatment protocols. Otolaryngol Clin North Am 2023;56(6):1013–25.

  11. Adams D. Is gun violence an epidemic in the U.S.? Experts and history say it is [document on the internet]; 29 Jun 2023 [сited 21 Dec 2023]. Available from:

  12. Rehman U, Shemie M, Sarwar MS, et al. The reconstruction of mandible defects in war injuries: systematic review and meta-analysis. Craniomaxillofac Trauma Reconstr 2023;0(0).

  13. Breeze J, Gibbons AJ, Hunt NC, et al. Mandibular fractures in British military personnel secondary to blast trauma sustained in Iraq and Afghanistan. Br J Oral Maxillofac Surg 2011;49(8):607–11.

  14. Pannett R, Timsit A, Stern DL et al. Ukraine live briefing: Drones attack Kyiv, officials say; Zelensky pushes for ‘modern air defense systems’ [document on the internet]; 18 Dec 2022 [сited 21 Dec 2023]. Available from:

  15. Neto AMR, Monteiro JL, Borba PM, Melo AR, Barbosa LM, Vasconcelos BC. TMJ´s posterolateral dislocation with tympanic plate fracture − case report. J Diagn Treat Oral Maxillofac Pathol 2017;1(2):59−64.

  16. Dammling C, Le JM, Aljadeff L, Jones JGA. Ogilvie M, Morlandt AB. An unusual presentation of a neck mass – traumatic pseudoaneurysm following third molar surgery: a case report. J Diagn Treat Oral Maxillofac Pathol2023;7(8):87–93. 

  17. Shamova TO, Pavlenko RA. Post-traumatic facial and intracranial emphysema. J Diagn Treat Oral Maxillofac Pathol 2020;4(5):95–6.

  18. Kopchak AV, Romanova AY, Mykhailenko OV. Detection of titanium particles in soft tissues adjacent to the fixators in patients with facial fractures and bone defects. J Diagn Treat Oral Maxillofac Pathol 2018;2(1):25−42.