Citation

Păun MA, Ghiurco I, Frunză A. Rom. J. Leg. Med. 2020; 28(1): 63-67.

Copyright

(Copyright © 2020, Romanian Legal Medicine Society)

DOI

10.4323/rjlm.2020.63

PMID

unavailable

Abstract

Trauma caused by firearms is complex, often fatal, especially when addressing certain anatomical regions such as the face and neck. The causes range from attempted murder to attempted suicide or accident. Their differentiation is important both legally and due to the fact that they can trans-late certain psychiatric sufferings of the patient that will have to be considered in the subsequent management. This kind of trauma is often characterized by significant loss of soft tissue and bone, which, for the survivors, will mean numerous reconstructive interventions in a multidisciplinary approach, lasting recovery and difficult social reintegration. The severity of these wounds is mainly related to the type of weapon used, the firing distance and the mass and velocity of the bullet. We will present the successful management regarding the treatment and rehabilitation of a patient with complex trauma caused by auto-shooting at the face level. © 2020 Romanian Society of Legal Medicine.

Language: en

Keywords

adult; human; male; case report; hospitalization; shooting; gunshot injury; clinical article; computer assisted tomography; anemia; endotracheal intubation; face injury; face fracture; face surgery; leukocytosis; Article; tracheostomy; soft palate; facial bone; hard palate; bone remodeling; alveolar bone; alveolar process fracture; alveolar ridge; avulsion fracture; bone structure; cone beam computed tomography; Facial trauma; fracture immobilization; Le Fort osteotomy; mandibular nerve; maxillary sinus; palato alveolar plateau; Reconstructive interventions