2018, Number 1
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Rev Mex Cir Bucal Maxilofac 2018; 14 (1)
Big bone defect mandibular open fracture treated in emergency with orthopedic external fixator
Brito VM, Souki F, Manzour N
Language: Spanish
References: 13
Page: 39-43
PDF size: 486.07 Kb.
ABSTRACT
Facial injuries (FI) are a major cause of morbidity and mortality worldwide. In our country, like the rest of Latin America, most of the FI are caused by interpersonal violence, reaching up to 50% in some countries. Approximately 6% of all injuries by firearm projectile affect the facial region, with a predominance of males. In those produced by short arms are considerably serious damage with extensive loss of soft tissue and bone. They are devastating injuries that cause crippling and disabling injuries that have important psychological implications, reflecting the large impact on the image the person causing complications as facial deformity and large scars. Their initial treatment is important, which should be performed according to ATLS protocols. Initial stabilization of fracture with an appropriate reduction of bone tissue allow adequate patient outcomes, limiting the retraction of the muscle located in the region, which will favor the conditions for final treatment. We report a 23 year old male patient, who suffered an open fracture by high-energy gunshot at close range, which was handled by our service with an orthopedic external fixator.
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