The importance of radiographic imaging in determining the direction of shooting in maxillofacial gunshot wounds
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 3
Abstract
tive: The aim of this study is to investigate the importance of the initial radiographies of patients whose first medical intervention was made outside the country borders and recovered after treatment in our hospital. Methods: The patients with maxillofacial trauma due to gunshot and shrapnel injuries who were treated by Department of Otolaryngology in the last year were examined retrospectively. Twenty two patients were included to the study, who had injuries in another country and who were received initial medical treatments there. The maxillofacial computed tomographies of patients which were performed before the treatment were evaluated according to the direction of movement of bone fracture fragments. Results: The youngest patient was 17 years old and the oldest one was 43 years old. All the patients were male. It was observed that all of the patients were referred to our hospital after the first intervention had been made in other medical centers. There was no reliable information about the event of injury and type of used weapon. According to the findings of the radiological images, the directions of shootings were determined by the evaluation of the directions of bone fragments in 19 (86.4%) patients. Conclusion: The initial radiographic images of dead or medically treated patients with bone fractures due to gunshot injuries, in cases with unidentified origins and injury mechanisms, play an important role in the determination of the direction of shooting. The wounds have been identified whether they are entry or exit wounds when the directions of fire are determined. Key words: Gunshot, direction of fire, bone fracture
Authors and Affiliations
Adnan Çelikel, Cengiz Arlı, Cem Zeren, Dua Demirkıran
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