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External mandibular fixation for gunshot fractures: report of 2 cases
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External mandibular fixation for gunshot fractures: report of 2 cases
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Journal Article
External mandibular fixation for gunshot fractures: report of 2 cases
2023
Overview
[LANGUAGE= \"English\"] High-energy ballistic injuries may cause comminuted facial fractures. Treatment of such fractures might be challenging because of in-fection and soft- and hard-tissue loss. These cases may not be amenable to open reduction and internal fixation. We present 2 cases of gunshot fractures, for which external fixation was used as a surgical step before definitive treatment. With the use of external fixation, existing infection had been controlled and soft tissues had been restored, which allowed oral rehabilitation with reconstruction plates and autogenous bone grafting, if needed.[LANGUAGE= \"Turkish\"] Yüksek enerjili balistik yaralanmalar çok parçalı fasiyal kırıklara yol açabilmektedir. Bu kırıkların tedavisi enfeksiyon ve sert ve yumuşak doku kaybı nedeniyle zorlayıcı olabilir. Böyle vakalar açık redüksiyon ve internal tespit için uygun olmayabilir. Bu raporda eksternal fiksasyonun esas tedavi öncesinde cerrahi bir aşama olarak uygulandığı 2 ateşli silah yaralanması vakası sunuldu. Eksternal fiksasyon uygulaması ile var olan enfeksiyon kontrol altına alınmış ve yumuşak dokular tamir edilmiştir. Bu sayede rekonstrüksiyon plakları ve gerekli ise otojen kemik greftleme yardımı ile oral rehabilitasyona uygun ortam sağlanmıştır.
Publisher
Kare Publishing
Subject
