Fracture of the coronoid and pterygoid processes by firearms: case report
Braz. dent. j
;
18(2): 168-170, 2007. ilus
Article
in English
| LILACS
| ID: lil-466513
ABSTRACT
A rare case of fracture of the coronoid and the pterygoid process caused by firearms is described. A 28-year-old male was hit by a bullet in the face, resulting in restricted mouth opening, difficulty in chewing and pain when opening the mouth. Clinical examination revealed a perforating wound in the right parotid region and a similar wound on the left side of the same region. A CT scan showed comminuted fracture of the left coronoid process and bilateral comminuted fracture of the pterygoid processes. Treatment was conservative, speech therapy was conducted and it was successful. Details of the clinical signs, radiology (3D-CT scan), treatment and follow-up are presented.
RESUMO
Um caso raro de fratura dos processos coronóide e pterigóide por arma de fogo é descrito. Paciente do sexo masculino, 28 anos de idade, foi atingido por projétil de arma de fogo na face, resultando em limitação na abertura da boca, dificuldade para mastigar e dor ao abrir a boca. Exame clínico revelou ferimento perfurante em região parotídea direita e ferida similar do lado esquerdo na mesma região. Tomografia computadorizada (TC) mostrou fratura cominutiva do processo coronóide esquerdo e fratura cominutiva bilateral dos processo pterigóides. O tratamento foi conservador, através de fonoterapia, obtendo-se sucesso. Uma descrição detalhada das características clínicas, radiológicas (TC com reconstrução 3D), tratamento e proservação do caso é apresentada.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Skull Fractures
/
Sphenoid Bone
/
Wounds, Gunshot
/
Fractures, Comminuted
/
Mandibular Fractures
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Braz. dent. j
Journal subject:
Dentistry
Year:
2007
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of Pernambuco/BR
Similar
MEDLINE
...
LILACS
LIS