Sammartino Gilberto, Marenzi Gaetano, Mortellaro Carmen
Department of Odontostomatological and Maxillofacial Sciences, Faculty of Medicine, University of Naples Federico II, Naples, Italy.
J Craniofac Surg. 2010 Jan;21(1):124-5. doi: 10.1097/SCS.0b013e3181c46826.
Severity of injury resulting from facial firearm wounds varies according to many factors. The correct management of these lesions can be complex, and each can present peculiarities.In this paper, we report a case of a patient affected by a limited mouth opening caused by a penetrating injury of the mandible angle by a large-caliber bullet retained in the contralateral medial pterygoid muscle. The limited mouth opening did not allow the performance of traditional intubation, and the bullet's location in the muscle tissue imposed a careful surgical approach without determining any displacement of it and consequently more damages.
面部火器伤所致损伤的严重程度因多种因素而异。这些损伤的正确处理可能很复杂，且每种损伤都有其独特之处。在本文中，我们报告了一例患者，因大口径子弹穿透下颌角并滞留于对侧翼内肌，导致张口受限。张口受限使得传统插管无法进行，且子弹位于肌肉组织中，这就要求采取谨慎的手术方法，避免子弹移位从而造成更多损伤。
