TY - JOUR PY - 2015// TI - An interesting case of gunshot injury to the temporomandibular joint JO - Craniomaxillofacial trauma and reconstruction A1 - Pires, Mário Sergio Medeiros A1 - Giongo, Caroline Comis A1 - Antonello, Guilherme de Marco A1 - Couto, Ricardo Torres do A1 - Filho, Ruy de Oliveira Veras A1 - Junior, Otacílio Luiz Chagas SP - 79 EP - 82 VL - 8 IS - 1 N2 - The head and face are relatively common sites of gunshot injury, and the temporomandibular joint is often affected. These wounds usually produce major deformity and functional impairment, particularly when the temporomandibular joint is affected or when structures such as the facial nerve are damaged. Complications may include mandibular displacement at maximum mouth opening and in protrusion, limited mouth opening, limited lateral movement of the jaw, anterior open bite, and, more rarely, temporomandibular ankylosis. Projectiles that strike the mandible usually cause comminuted fractures; maxillary wounds, in turn, are most commonly perforating. The present report describes a case of gunshot injury in which the projectile lodged within the mandibular fossa but did not cause any fractures. Oral and maxillofacial trauma surgeons must be aware of the different types of gunshot injury, as they produce distinct patterns of tissue destruction due to projectile trajectory and release of kinetic energy into surrounding tissue.

Language: en

LA - en SN - 1943-3875 UR - http://dx.doi.org/10.1055/s-0034-1390244 ID - ref1 ER -