Gunshot injuries in the maxillofacial region: a retrospective analysis and management

Authors

  • Leandro Lauriti Nove de Julho University
  • Sandra Kalil Bussadori Nove de Julho University
  • Kristianne Porta Santos Fernandes Nove de Julho University
  • Manoela Domingues Martins Nove de Julho University
  • Raquel Agnelli Mesquita Ferrari Nove de Julho University
  • João Gualberto de Cerqueira Luz University of São Paulo

DOI:

https://doi.org/10.20396/bjos.v10i4.8641603

Keywords:

Gunshot wounds, Comminuted fractures, Internal fixation of fractures

Abstract

Aim: To analyze gunshot wounds to the face, assessing the characteristics, immediate treatment, late treatment, complications and after effects. Methods: A retrospective observational study was carried out involving 75 cases of victims of gunshot wounds to the face treated at the Oral and Maxillofacial Traumatology Unit of the Dr. Arthur Ribeiro de Saboya Hospital in the city of São Paulo (Brazil).Data analysis used the chi-square test with the level of significance set at 5% (p dd 0.05). Results: There was a predominance of the 21-to-30-year-old age group (38.7%), male gender (92%) and wounds occurring due to assaults (37.3%). There was a predominance of entry wounds on the left side of the face (58.5%). The most affected sites were the mandible (50.7%), maxilla (18.3%), zygomatic region (7.0%), eye socket (4.2%) and nose (1.4%). Comminuted fractures (88.2%) and simple fractures (10.3%) were recorded. No fracture occurred in 1.5% of the cases. The predominant treatment was rigid internal fixation (RIF) (57.2%), followed by exploratory surgery (23.2%) and conservative treatment (19.6%). Among the cases in which the RIF system was used, there was predominance in the mandible (64.0%). The chi-square test revealed a significant correlation between the 2.4-mm RIF system and the mandible in 48.0 % of cases. Conclusions: In conclusion, gunshot wounds tended to pierce the face, mainly affecting the mandible and caused comminuted fractures treated with rigid internal fixation. Immediate complications occurred in 25% of cases and after effects occurred in 11.7%.

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Author Biographies

Leandro Lauriti, Nove de Julho University

Master’s Degree Student in Rehabilitation Sciences; Professor, Surgery Sector, Nove de Julho University

Sandra Kalil Bussadori, Nove de Julho University

PhD Professor, Master’s Degree Program in Rehabilitation Sciences, Nove de Julho University

Kristianne Porta Santos Fernandes, Nove de Julho University

PhD in Immunology; Professor, Master’s Degree Program in Rehabilitation Sciences, Nove de Julho University

Manoela Domingues Martins, Nove de Julho University

Professor, Master’s Degree Program in Rehabilitation Sciences, Nove de Julho University

Raquel Agnelli Mesquita Ferrari, Nove de Julho University

Professor, Master’s Degree Program in Rehabilitation Sciences, Nove de Julho University

João Gualberto de Cerqueira Luz, University of São Paulo

Professor, Surgery Sector,

Published

2015-11-05

How to Cite

1.
Lauriti L, Bussadori SK, Fernandes KPS, Martins MD, Ferrari RAM, Luz JG de C. Gunshot injuries in the maxillofacial region: a retrospective analysis and management. Braz. J. Oral Sci. [Internet]. 2015 Nov. 5 [cited 2022 Oct. 2];10(4):236-40. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641603

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