Becelli R, De Ponte F S, Sassano P P, Rinna C
Department of Maxillo-Facial Surgery, University of Rome La Sapienza, Italy.
J Craniofac Surg. 1995 Nov;6(6):473-6. doi: 10.1097/00001665-199511000-00010.
Firearms induce severe morphological and structural alterations on both soft and bony tissues of the face. It is therefore essential to restore their previous functionality. In our experience, maxillofacial lesions due to firearm shooting must be divided, from a locational point of view, into those lesions involving the upper third, those involving the medium third, and those involving the lower third of the face. Lesions of soft and bony tissues must be evaluated precisely through instrumental diagnostic examinations and axial and coronal computed tomographic projection, preferably with a three-dimensional construction, to be able to restore the previous functional integrity of the maxillofacial region. At a subsequent surgical time, it may be necessary to plan aesthetic corrections for recovery of the previous facial harmony.
火器会对面部的软组织和骨组织造成严重的形态和结构改变。因此，恢复其先前的功能至关重要。根据我们的经验，从位置角度来看，火器射击导致的颌面损伤必须分为涉及面部上三分之一的损伤、涉及中三分之一的损伤和涉及下三分之一的损伤。软组织和骨组织的损伤必须通过仪器诊断检查以及轴向和冠状位计算机断层扫描投影进行精确评估，最好采用三维重建，以便能够恢复颌面区域先前的功能完整性。在后续的手术阶段，可能有必要规划美学矫正方案以恢复先前的面部和谐。
