Chhetri Dinesh K, Shapiro Nina L
Division of Head and Neck Surgery, Department of Surgery, School of Medicine, University of California at Los Angeles, 90095, USA.
Ear Nose Throat J. 2004 Mar;83(3):176, 178, 180.
Injuries caused by BB and pellet guns remain common among children. These guns fire low-velocity missiles that can cause considerable harm when fired at close range. Most injuries occur in adolescents as a result of accidental or careless shooting. Such injuries to head and neck sites are common, second only to injuries to the extremities. We report the case of a 10-year-old girl who was accidentally shot by a BB gun. The BB pierced the skin of her right cheek, traversed the right maxillary sinus walls, and lodged at the junction of the right ethmoid sinus and septum. Preoperative radiology combined with endoscopic surgery techniques and instrumentation allowed us to precisely locate and remove the steel ball from the paranasal sinus while the patient was under general anesthesia. We review the scope of maxillofacial injuries caused by BB and pellet guns, and we discuss their presentation, diagnosis, and management. Although these guns are easily bought and sold as toys, they are weapons capable of causing significant injury.
气枪和弹丸枪造成的伤害在儿童中仍然很常见。这些枪发射低速飞弹，近距离发射时会造成相当大的伤害。大多数伤害发生在青少年身上，是意外或粗心射击的结果。头部和颈部受伤很常见，仅次于四肢受伤。我们报告一例10岁女孩被气枪意外击中的病例。气枪子弹穿透了她右脸颊的皮肤，穿过右上颌窦壁，停留在右筛窦与鼻中隔的交界处。术前放射学检查结合内镜手术技术和器械，使我们能够在患者全身麻醉下精确地从鼻窦中定位并取出钢珠。我们回顾了气枪和弹丸枪造成的颌面损伤范围，并讨论了它们的表现、诊断和处理。尽管这些枪很容易作为玩具买卖，但它们是能够造成重大伤害的武器。
