There are limited published data about the surgical management of self-inflicted facial gunshot wounds. The aim of this retrospective study was to review our management of subjects who initially survive such a wound and were admitted to a tertiary care trauma centre between and Only subjects with definitive evidence of a self-inflicted facial gunshot wound and who were admitted alive were included. Data collected included personal and clinical details, characteristics of the gunshot wound, and medical and surgical management. Types of operations and their duration were recorded, and primary reconstruction was divided into early within the first 48 hours after presentation or delayed longer than 48 hours.
Surgical management of self-inflicted facial gunshot wounds
Neurosurgical Treatment for Gunshot Wound Head Trauma
The Civil War claimed the lives of around , soldiers. Those who survived often had life-altering injuries. The destructive "minie ball" bullets used in the war had a tendency to shatter bones and limbs, and amputation was often the best option in the face of infection and sepsis. The following photos reveal the damage soldiers lived with in the era before functional prosthetics and disability rights. Private Patrick Hughes, Co. Private Eben Smith, Co.
Album: Faces and Injuries of the Civil War
Unlike handguns and rifles which have lands-and-grooves cut on the inside of their barrels, shotguns have a smooth bore. Lands-and-grooves cause specific identifying features rifling on projectiles as they pass along the barrel. These markings allow examiners to test-fire weapons and compare test-fired bullets to those discovered in bodies. Since shotguns have no lands-and-grooves, their projectiles cannot be positively matched to those found at the scene or inside a body. A shotgun cartridge contains pellets, gunpowder, and a wad that separates the pellets from the gunpowder.
The complex facial trauma victim poses a genuine therapeutic challenge as a whole, and may be particularly challenging to the medical team. The literature on acute management of gunshot wounds to the face is scarce. We performed an extensive review of the English-language literature in an effort to better delineate the diagnosis and acute management of these injuries.