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Surgical treatment of gunshot injuries to the mandible.

Authors :
Newlands SD
Samudrala S
Katzenmeyer WK
Newlands, Shawn D
Samudrala, Sreedhar
Katzenmeyer, W Kevin
Source :
Otolaryngology-Head & Neck Surgery; Sep2003, Vol. 129 Issue 3, p239-244, 6p
Publication Year :
2003

Abstract

<bold>Objectives: </bold>Our goal was to review and identify risk factors for complications from treatment of mandible fractures due to gunshot wounds. Study design and setting We conducted a retrospective review of treatment outcomes in 90 patients with gunshot wounds to the mandible treated over a 10-year period at 2 tertiary care centers. <bold>Results: </bold>Our series of 90 patients with mandibular injuries due to gunshot wounds included 68 patients who underwent surgical procedures on the mandible. There were 14 complications in this group. Complications were more common in patients whose mandibles were rigidly fixated; however, these patients' injuries were more severe. Complications were significantly increased in patients who lost a segment of mandible in the injury. <bold>Conclusions: </bold>Complications were related to severity of injury and independent of treatment modality. <bold>Significance: </bold>The complication rate for patients with gunshot injuries can be very high, particularly if bone is missing. Stabilization of remaining mandibular segments with potentially multiple subsequent reconstructive procedures is often required to restore mandibular continuity in these patients. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
01945998
Volume :
129
Issue :
3
Database :
Complementary Index
Journal :
Otolaryngology-Head & Neck Surgery
Publication Type :
Academic Journal
Accession number :
106717350
Full Text :
https://doi.org/10.1016/s0194-5998(03)00481-9