Management of gunshot-induced fractures in the maxillofacial region: case report and literature review

Authors

  • Ana Sofía Godoy-Tercero Universidad Nacional Autónoma de México. Ciudad de México, México.
  • Josue Gallardo-Caudillo Universidad Nacional Autónoma de México. Ciudad de México, México.

DOI:

https://doi.org/10.20453/reh.v36i1.6551

Keywords:

gunshot wounds, multiple fractures, firearms, penetrating head injuries, case report

Abstract

The management of fractures in the maxillofacial region caused by firearms represents a challenge that requires immediate multidisciplinary intervention. Treatment is conditioned by the severity of the injury and the structures involved. In this study, three cases of patients admitted to the maxillofacial surgery service due to ballistic trauma with extensive soft-tissue injuries and hard-tissue damage are described. All patients showed favorable clinical evolution following treatment. Additionally, a literature review was conducted to design a management algorithm for fractures caused by firearms based on established protocols.

Downloads

Download data is not yet available.

Author Biographies

Ana Sofía Godoy-Tercero, Universidad Nacional Autónoma de México. Ciudad de México, México.

Residente Cirugia Oral y Maxilofacial UNAM 

Josue Gallardo-Caudillo, Universidad Nacional Autónoma de México. Ciudad de México, México.

Cirujano Maxilofacial de la practiva privada

References

Jose A, Arya S, Nagori S. High-velocity ballistic injuries inflicted to the maxillofacial region. J Craniofac Surg. 2019;30(6):e511-4. doi:10.1097/SCS.0000000000005418

Palacios DE, Miranda JE, Calderón AS. Herida facial por proyectil de arma de fuego: revisión de la literatura y estudio clínico de tres casos. Rev Odont Mex. 2017;21(2):127-34. doi:10.1016/j.rodmex.2017.05.009

Bonanthaya K, Panneerselvam E, Manuel S, et al., editores. Oral and Maxillofacial Surgery for the Clinician. Singapur: Springer; 2022.

Fonseca RJ, Walker RV, Barber HD, et al., editores. Oral and Maxillofacial Trauma. 4.a ed. North Carolina: Saunders; 2013. doi:10.1016/C2010-0-64979-0

Martínez-Villalobos S. Osteosíntesis cráneo maxilofacial. Majadahonda (Madrid): Ediciones Ergon; 2002.

Axelrod D, Comeau-Gauthier M, Prada C, et al. Change in Gustilo-Anderson classification at time of surgery does not increase risk for surgical site infection in patients with open fractures: a secondary analysis of a multicenter, prospective randomized controlled trial. OTA Int. 2022;6(1):e231. doi:10.1097/OI9.0000000000000231

Khatib B, Gelesko S, Amundson M, et al. Updates in management of craniomaxillofacial gunshot wounds and reconstruction of the mandible. Oral Maxillofac Surg Clin North Am. 2021;33(3):359-72. doi:10.1016/j.coms.2021.04.005

Secchi A, Mordoh S, Cristi E, et al. Algoritmo para el manejo del trauma balístico maxilofacial. Caso clínico y revisión de la literatura. Int J Odontostomat. 2022;16(2):241-8. doi:10.4067/S0718-381X2022000200241

Published

2026-03-11

How to Cite

1.
Godoy-Tercero AS, Gallardo-Caudillo J. Management of gunshot-induced fractures in the maxillofacial region: case report and literature review . Rev Estomatol Herediana [Internet]. 2026 Mar. 11 [cited 2026 Mar. 12];36(1):e6551. Available from: http://44.198.254.164/index.php/REH/article/view/6551

Issue

Section

CASE REPORTS