Nam Seung Min
From the Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea.
J Craniofac Surg. 2013;24(5):e510-2. doi: 10.1097/SCS.0b013e31829aca1f.
Explosive oral cavity injuries make restoring optimal oral function a challenge. An explosion in the oral cavity can cause burns and concomitant smoke inhalation injury to the upper airway.We present the case of a patient in whom the middle and lower thirds of the face were destroyed when a firecracker exploded in his oral cavity. Gunpowder tattooing caused by the explosion was present on the retropharyngeal space. He had an open fracture of the mandibular symphysis and inhalation burns of the upper airway were suspected. Tracheostomy was performed because we could not rule out inhalation burns of the upper airway. After close observation, his cardiopulmonary function and vital signs were stable, and we prepared him for reconstructive surgery.
口腔爆炸伤使得恢复最佳口腔功能成为一项挑战。口腔内的爆炸会导致烧伤，并伴有上呼吸道烟雾吸入性损伤。我们报告一例患者，其口腔内鞭炮爆炸时面部中下部被毁。爆炸导致的火药纹身出现在咽后间隙。他下颌联合处开放性骨折，怀疑有上呼吸道吸入性烧伤。由于无法排除上呼吸道吸入性烧伤，遂行气管切开术。经过密切观察，其心肺功能和生命体征稳定，我们为他准备了重建手术。
