Edetanlen E B, Saheeb B D
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, College of Medical Sciences, University of Benin, Benin, Edo State, Nigeria.
Niger J Clin Pract. 2018 Mar;21(3):356-361. doi: 10.4103/njcp.njcp_315_17.
Short-range shotgun wounds of the craniomaxillofacial region are life-threatening and are as devastating as military rifle wounds.
This study aimed to evaluate the pattern of presentation of craniomaxillofacial shotgun injuries, types of shotgun injuries, and the outcome of treatments in our environment.
This is a prospective observational study. Materials and Methods: This is a prospective observational study conducted from February 2006 to March 2012. All patients with shotgun wounds to the craniomaxillofacial region were included in the study by convenient sampling method. Glezer's shotgun classification scheme was used to categorize the patients into short-, intermediate-, and long-range shotgun wounds. Data collected were analyzed using SPSS version 16.
Descriptive statistics were used to calculate the data. Mean and standard deviation (SD) were calculated for all quantitative variables such as age. Frequency and percentages were presented for qualitative variables.
A total number of 28 patients were seen. Ages ranged from 19 to 64 years with a mean (±SD) of 32.7 (±11.4) years. The two most commonly used shotguns were locally made pistol (25, 42.9%) and the cut-size gun (10, 35.7%) and the least commonly used was Dane gun (1, 3.6%). Close-range injury to the face was 17 (60.7%) while that of intermediate- and long-range injuries were 6 (21.1%) and 5 (17.9%), respectively.
Wounds sustained from close-range shotguns to the face were the most common in this environment. The outcome of treatment was satisfactory when treated with conservative debridement and early reconstruction.
颅颌面区域的近距离霰弹枪伤危及生命，其破坏性与军用步枪伤相当。
本研究旨在评估在我们所处环境中颅颌面霰弹枪伤的表现模式、霰弹枪伤的类型以及治疗结果。
这是一项前瞻性观察研究。材料与方法：本前瞻性观察研究于2006年2月至2012年3月进行。采用方便抽样法，将所有颅颌面区域有霰弹枪伤的患者纳入研究。使用格莱泽霰弹枪分类方案将患者分为近距离、中距离和远距离霰弹枪伤。收集的数据使用SPSS 16版进行分析。
使用描述性统计来计算数据。计算所有定量变量（如年龄）的均值和标准差（SD）。定性变量则列出频率和百分比。
共观察到28例患者。年龄范围为19至64岁，平均（±SD）为32.7（±11.4）岁。最常用的两种霰弹枪是自制手枪（25支，42.9%）和改制枪（10支，35.7%），最不常用的是丹麦枪（1支，3.6%）。面部近距离损伤为17例（60.7%），中距离和远距离损伤分别为6例（21.1%）和5例（17.9%）。
在这种环境下，面部近距离霰弹枪伤最为常见。采用保守清创和早期重建治疗时，治疗效果令人满意。
