Fratura de mandíbula causada por projétil de arma de fogo: relato de caso / Mandible Fracture Caused by Firearm Projectile: Case Report

Introdução: A face é uma região exposta a diversos traumas que são causados por várias etiologias, dentre eles por projétil de arma de fogo que são a segunda maior causa de fraturas perdendo somente para os acidentes automobilísticos. As fraturas acometem com frequência a região mandibular, por ser um osso de destaque na face devido sua proeminência. O objetivo deste trabalho é elucidar uma fratura cominutiva na região de côndilo e colo mandibular causada por ferimento de arma de fogo e seu respectivo tratamento. Relato de Caso: Paciente de 25 anos, compareceu a um serviço de atendimento de cirurgia bucomaxilofacial vítima de um ferimento por arma de fogo. Após a realização dos exames de imagem constatou-se que o projétil estava alojado no pescoço da vítima, causando a fratura cominutiva o ramo e o côndilo mandibular do lado esquerdo. A paciente foi submetida a anestesia geral para realização da osteossíntese da fratura. Considerações finais: O diagnóstico e o tratamento são realizados por uma equipe multidisciplinar para que o tratamento seja o mais correto e efetivo, com finalidade de minimizar morbidades e mortalidades, já que os pacientes sobrevivem com sequelas permanentes quando o diagnóstico e o tratamento não são realizados de forma correta... (AU)

Introduction: The face is a region exposed to several traumas that are caused by several etiologies, among them a firearm projectile that is the second major cause of fractures losing only to automobile accidents. The fractures frequently affect the mandibular region, as it is a prominent bone in the face due to its prominence. The purpose of this study is to elucidate a comminuted fracture in the condyle and mandibular neck region caused by a firearm injury and its respective treatment. Case Report: A 25-year-old patient who attended a buccomaxillofacial surgery service as a victim of a gunshot wound. After imaging examinations it was found that the projectile was lodged in the victim's neck, causing the comminuted fracture of the branch and mandibular condyle on the left side. The patient underwent general anesthesia to perform the fracture osteosynthesis. Final considerations: Diagnosis and treatment are performed by a multidisciplinary team so that treatment is the most correct and effective, in order to minimize morbidities and mortalities, since patients survive with permanent sequelae when diagnosis and treatment are not performed correctly... (AU)

Estudo retrospectivo de janeiro de 1998 a maio de 2005, no Hospital Universitário de Maringá, sobre ferimentos por arma branca e arma de fogo / Retrospective study (january 1998 / may 2005) at the University Hospital of Maringá, on wounds caused by edged weapons and firearms

O objetivo deste trabalho é determinar as características dos pacientes atendidos no Hospital Universitário de Maringá (HUM), com ferimento por arma branca (FAB) e por arma de fogo (FAF), quanto ao sexo, idade, às regiões corporais, órgãos mais atingidos, tempo de internamento, complicações e mortalidade. Após análise de uma planilha elaborada para a pesquisa, observou-se que 68% dos atendimentos foram por FAB e 32%, por FAF, sendo a maioria homens (mais de 90%), adultos jovens (2ª e 3ª década, por FAF e FAB, respectivamente). As regiões mais acometidas foram abdome e tórax. e os órgãos mais atingidos foram intestino delgado e fígado, na lesão por arma branca, e fígado e intestino delgado, no FAF. A complicação mais comum foi o choque hipovolêmico. Concluiu-se que os FAB ocorreram em maior número no sexo masculino, na terceira década de vida

The objective of this study is to determine the characteristics of patients assisted at the University Hospital of Maringá (HUM) with wounds from edged weapons (EWW) or firearms (FW), in regards to gender, age, wounded body areas, most affected body organs, length of hospitalization, complications and mortality rates. After the analysis of a worksheet elaborated for the study, it was observed that 68% of admissions had been for EWW and 32% for FW. The majority were men (90%) and young adults (20s and 30s, for FW and EWW, respectively). The most affected body areas were the abdomen and thorax, and the most wounded organs were, in order: the small intestine and liver for EWW, and the liver and small intestine for FW. The most common complication was hypovolemic shock. It was concluded that EWW had occurred in larger numbers than FW, with predominance in males in their 30s

Treatment of Firearm Wounds to Spinal Column and Spinal Cord (A report of 170 cases) / 中华创伤杂志

From 1979 to 1989, 170 cases of firearm wounds in spinal column and spinal cord were treated. Of them 9 cases were recovered, 34 cases regained satisfactory function, 40 cases improved, 79 cases had no effects and 8 cases died. This article presented clinic materials and discussed the characteristic of such wounds. It was emphasized the early treatment and antishock should be taken, the decompression with laminectomy be done timely and any complication be actively prevented.

An analysis of 717 Cases with Multiple Wounds Caused by Firearms / 中华创伤杂志

In modern war the multiple wounds caused by projectiles, such as exploded artilery shells, hand grenades and mines, often occured. In the paper the characteristics of the multiple wounds were discussed based on 717 cases of war wounds. The characteristics Included the extensive wounds, high incidence of shock and the blind wounds. The remote effect was often seen in these cases. And also the treatment principles of these wounds were dicussod in this paper.