Resumen

RUIZ LAZA, L. et al. Initial therapeutic management of firearm wounds in the maxillofacial area. Rev Esp Cirug Oral y Maxilofac [online]. 2006, vol.28, n.5, pp.277-286. ISSN 2173-9161.

Introduction. The firearm injuries are not very common in our country, and the experience in its management is limited. In this review we show the experience of our Service in this wounds and review the literature to systematize the initial management of the firearm injuries in maxillofacial region. Material and Method. We present six patients treated in our Service in 2002. We study the demographics characteristic, aetiology, lesions patterns and treatment. Results. Five male and a female were treated of firearm lesions during this period, with a mean age of 38 years (range 13-74). Most frequent aetiology was the aggression. Only one patient required emergency airway control with tracheotomy. No complications were noted after primary surgical treatment and only one patient needed secondary surgical intervention. Discussion. There are controversy in definitive surgical treatment in patients with high-energy lesions in maxillofacial region , because the literature describe two forms of management. The first way is the primary reconstruction with microvascular techniques, or secondary reconstruction after desbridement, stabilization of existing bone and primary closure of soft tissue. We think that the choice of treatment must be individualized, and we choose the secondary reconstruction as early as possible after primary stabilization of wounds.

Palabras clave : Firearm; Maxillofacial injuries; Reconstruction.

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