RESUMO
The human face contains the sense organs and is responsible for essential functions: swallowing, chewing, speech, breathing and communication. It is also and most importantly the seat of a person's identity. Multiple trauma adds a life-threatening dimension to the physical and psychological impact of a facial trauma.
Assuntos
Traumatismos Faciais/enfermagem , Traumatismo Múltiplo/enfermagem , Lesões Encefálicas/classificação , Lesões Encefálicas/enfermagem , Lesões Encefálicas/psicologia , Comportamento Cooperativo , Traumatismos Oculares/classificação , Traumatismos Oculares/enfermagem , Traumatismos Oculares/parasitologia , Ossos Faciais/lesões , Traumatismos Faciais/classificação , Traumatismos Faciais/psicologia , Humanos , Comunicação Interdisciplinar , Traumatismo Múltiplo/classificação , Traumatismo Múltiplo/psicologia , Equipe de Assistência ao Paciente , Qualidade de Vida/psicologia , Fraturas Cranianas/classificação , Fraturas Cranianas/enfermagem , Fraturas Cranianas/psicologiaRESUMO
UNLABELLED: Less-lethal rubber-bullet weapons are designed to induce blunt injuries that incapacitate violent individuals. AIM AND SCOPE: We intend to study the functional and aesthetic impairments and the cost in terms of social health resulting from rubber-bullet facial trauma. MATERIALS AND METHODS: We retrospectively collected all the facial trauma cases caused by mass-appeal, less-lethal guns followed up in two French university hospitals since the year 2000. We did not consider the facial injuries caused by professional, less-lethal, rubber or plastic bullet guns. CONCLUSION: We showed that mass-appeal, less-lethal rubber-bullet guns induce severe traumas with irreversible functional consequences and long-term social implications. Victims of facial rubber-bullet traumas should be managed like high-energy trauma patients and benefit from extremely careful primary wound care.