Penetrated Shotgun Pellets: A Case Report

ABSTRACT

Shotgun wounds can result in devastating functional and aesthetic consequences for patients. There is no consensus in terms of removing or retaining foreign bodies such as shotgun pellets. In this report a 54-year-old man who suffered from accidental shotgun wounds on the face approximately 26 years ago is presented. Although most of pellets were still present, there were no symptoms such as poisoning, fistula formation, recurrent infections, or secondary hemorrhage to date except feeling cold in cold days. (Eur J Dent 2008;2:59-62)

Key words:

Shotgun - Pellet - Shotgun wound

• REFERENCES

• 1 Arslan H, Subasi M, Kesemenli C, Kapukaya A, Necmioglu S, Kayikci C. Problem fractures associated with gunshot wounds in children. Injury 2002; 33: 743-749
• 2 Dimitroulis G. An unusual bullet trajectory to the face. J Oral Maxillofac Surg 2006; 64: 137-139
• 3 Suominen E, Tukiainen E. Close-range shotgun and rifle injuries to the face. Clin Plast Surg 2001; 28: 323-337
• 4 Abe M, Motani-Saitoh H, Sato Y, Kiuchi M. A fatal case of shotgun injury caused by one pellet. Leg Med 2002; 4: 131-133
• 5 Weider L, Hughes K, Ciarochi J, Dunn E. Early versus delayed repair of facial fractures in the multiply injured patient. Am Surg 1999; 65: 790-793
• 6 Vayvada H, Menderes A, Yilmaz M, Mola F, KiziLkaya A, Atabey A. Management of close-range, high-energy shotgun and rifle wounds to the face. J Craniofac Surg 2005; 16: 794-804
• 7 Gruss JS, Antonyshyn O, Phillips JH. Early definitive bone and soft-tissue reconstruction of major gunshot wounds of the face. Plast Reconstr Surg 1991; 87: 436-450
• 8 Hollier L, Grantcharova EP, Kattash M. Facial gunshot wounds: a 4-year experience. J Oral Maxillofac Surg 2001; 59: 277-282
• 9 Desinan L, Mazzolo GM. Gunshot fatalities: suicide, homicide or accident? A series of 48 cases. Forensic Sci Int 2005; 147: 37-40
• 10 Lee D, Nash M, Turk J, Har-El G. Low-velocity gunshot wounds to the paranasal sinuses. Otolaryngol Head Neck Surg 1997; 116: 372-378
• 11 Motamedi MH. Primary management of maxillofacial hard and soft tissue gunshot and shrapnel injuries. J Oral Maxillofac Surg 2003; 61: 1390-1398
• 12 Holmes JD. Gunshot Injuries. In: Milaro M. ed. Peterson’s Principals of Oral and Maxillofacial Surgery. 2nd edn. BC Decker Inc. Hamilton; London: 2004: 509-526
• 13 Behnia H, Motamedi MH. Reconstruction and rehabilitation of short-range, high-velocity gunshot injury to the lower face: a case report. J Craniomaxillofac Surg 1997; 25: 220-227
• 14 Finn RA. Treatment of comminuted mandibular fractures by closed reduction. J Oral Maxillofac Surg 1996; 54: 320-327
• 15 Mladick RA, Georgiade NG, Royer J. Immediate flap reconstruction for massive shotgun wound of face. Plast Reconstr Surg 1970; 45: 186-188
• 16 Mahajan M, Shah N. Accidental lodgment of an air gun pellet in the maxillary sinus of a 6-year old girl: a case report. Dent Traumatol 2004; 20: 178-180
• 17 Thoresby FP, Darlow HM. The mechanisms of primary infection of bullet wounds. Br J Surg 1967; 54: 359-361