Singh Shagun
Department of Oral and Maxillofacial Surgery, 3 Corps Dental Unit, Armed Forces, Dimapur, India.
J Maxillofac Oral Surg. 2024 Apr;23(2):394-401. doi: 10.1007/s12663-023-02061-9. Epub 2023 Dec 11.
In the context of Indian combat scenario, maxillofacial injuries from gunshots are uncommon.
The first section of this study is a case report of a rare instance of metal foreign bodies that were lodged in the parapharyngeal space, deeper to the deep lobe of the parotid right next to the carotid space in the neck. The second section focusses on the unique treatment for blast injuries as well as the variety of imaging procedures that are readily available to assist with surgery, such as plain film, CT, angiography, and occasionally MR imaging.
According to the study, understanding the pertinent anatomy, precise imaging of the penetrating object in relation to vital structures, meticulously planned and conducted surgical removal of the foreign body, and repair of damaged structures are the key elements of a successful treatment.
在印度的战斗场景中，枪伤导致的颌面损伤并不常见。
本研究的第一部分是一个病例报告，讲述了金属异物罕见地嵌顿于咽旁间隙，该间隙位于颈部颈动脉间隙旁腮腺深叶的深部。第二部分重点介绍了爆炸伤的独特治疗方法以及各种有助于手术的成像程序，如平片、CT、血管造影，偶尔还有磁共振成像。
根据该研究，了解相关解剖结构、对穿透物体与重要结构的精确成像、精心规划并实施的异物手术取出以及受损结构的修复是成功治疗的关键要素。
