Abstract
Rehabilitation of Mid Facial Tissue Defects Due to Gun Shot Injury- A Case Report
Highlights
The available literature on fire arm injuries is voluminous, much of which is debatable or controversial at best
Appropriate surgical treatment principles are adhered to and the wound is individually treated based on presentation and mechanism, rather than an arbitrary adherence to an unsubstantiated classification system. These injuries should be handled in the manner like typical blunt trauma injury is treated: direct open approaches to expose the fractures and debridement of injured soft tissues are followed by reduction, rigid internal fixation, and primary soft tissue closure
The authors advocate that any high-energy or avulsive injury of the maxillofacial region be approached with a systematic algorithm as follows: a) Initial debridement and excision of necrotic tissue followed by soft tissue closure and intravenous antibiotic therapy, b) Repair of bone injury with traditional open reduction and fixation techniques used for blunt facial injuries, c) Serial debridement every 24 to 48 hours, which involves reopening the soft tissues in the area of avulsion and further debriding interval necrotic tissue, hematoma, infection, and dead space, followed by closure of the soft tissue wound, and d) Definitive reconstruction with pedicled or free-tissue transfer to replace bone and soft tissue loss when the wound is stable
Summary
Rehabilitation of Mid Facial Tissue Defects Due to Gun Shot Injury- A Case Report. The extensive damage of the tissues of face and oro-facial region possesses great challenge for the treating dental surgeon to rehabilitate towards near perfect condition physiologically, functionally and esthetically [1,2]. The initial analysis towards the extent of damage is difficult to assess and later due to increase in chances of infection, ischemia and necrosis there are reduced chances towards faster healing, which complicates the reconstruction/rehabilitation part. The rehabilitation of the defects usually involves initial stabilization, definitive reconstruction and later secondary reconstruction by surgical or prosthodontical techniques of restoring the lost tissues/defects. The latest surgical protocol implies the immediate surgical reconstruction as a method of choice [3,4,5,6,7]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
