Fracture of the coronoid process, sphenoid bone, zygoma, and zygomatic arch after a firearm injury

A rare case of fracture of the coronoid process, sphenoid bone, zygoma, and zygomatic arch caused by a firearm is described. A 25-year-old man was hit in the face with a bullet, resulting in restricted mouth opening, difficulty chewing, and pain when opening the mouth. The clinical examination revea...

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Veröffentlicht in:The Journal of craniofacial surgery 2011-11, Vol.22 (6), p.e34-e37
Hauptverfasser: de Santana Santos, Thiago, Frota, Riedel, Martins-Filho, Paulo Ricardo Saquete, Vajgel, André, de Albuquerque Maranhão-Filho, Almir Walter, de Oliveira E Silva, Emanuel Dias
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container_end_page e37
container_issue 6
container_start_page e34
container_title The Journal of craniofacial surgery
container_volume 22
creator de Santana Santos, Thiago
Frota, Riedel
Martins-Filho, Paulo Ricardo Saquete
Vajgel, André
de Albuquerque Maranhão-Filho, Almir Walter
de Oliveira E Silva, Emanuel Dias
description A rare case of fracture of the coronoid process, sphenoid bone, zygoma, and zygomatic arch caused by a firearm is described. A 25-year-old man was hit in the face with a bullet, resulting in restricted mouth opening, difficulty chewing, and pain when opening the mouth. The clinical examination revealed a perforating wound in the right parotid region. A computed tomographic scan revealed a comminuted fracture of the left coronoid process with the bullet stopping in the intact left coronoid process. Treatment was bilateral coronoidectomy associated with speech therapy and was successful. Details of the clinical signs, computed tomography, treatment, and follow-up are presented.
doi_str_mv 10.1097/SCS.0b013e31822ed008
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subjects Adult
Combined Modality Therapy
Dentistry
Humans
Male
Mandibular Fractures - diagnostic imaging
Mandibular Fractures - etiology
Mandibular Fractures - therapy
Speech Therapy
Sphenoid Bone - diagnostic imaging
Sphenoid Bone - injuries
Tomography, X-Ray Computed
Wounds, Gunshot - complications
Wounds, Gunshot - therapy
Zygoma - diagnostic imaging
Zygoma - injuries
Zygomatic Fractures - diagnostic imaging
Zygomatic Fractures - etiology
Zygomatic Fractures - therapy
title Fracture of the coronoid process, sphenoid bone, zygoma, and zygomatic arch after a firearm injury
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