Auday M Al-Anee1,2, Ahmed Fadhel Al-Quisi3,4, Hassanien A Al-Jumaily1,2. 1. Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Baghdad, Iraq. 2. Oral and Maxillofacial Surgeon at Al-Shaheed Gazi AL-Hariri Teaching Hospital, Medical City, Baghdad, Iraq. 3. Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Baghdad, Iraq. ahmedquisi@gmail.com. 4. Oral and Maxillofacial Surgeon at Al-Kindi Teaching Hospital, Baghdad, Iraq. ahmedquisi@gmail.com.
Abstract
PURPOSE: Is to compare the patterns, severity, and management of the high- and low-velocity mandibular war injuries managed at Al Shaheed Gazi Al-Hariri Hospital in Baghdad Medical City, Iraq, during a 2-year period. METHODS: Forty-one patients with a history of mandibular war injuries treated by our maxillofacial team were reviewed during a period of 2 years (2015-2017). All patients were treated in the Maxillofacial Unit of the Hospital of Specialized Surgeries in Baghdad Medical City. RESULTS: A 2-year retrospective study evaluated 41 patients with mandibular war injuries with a total of 94 fractures (comminution represents 79.06% of the bullet injuries, while it is only 62.74% with IED injuries). Management of these injuries was varied according to the severity of the injuries and resources available. Close reduction was used in 72.72% of the linear fracture cases, whereas open technique was used in 56.6% of the comminuted fractures. CONCLUSIONS: Bullet injuries were associated with a higher number of mandibular comminuted fractures, in addition to more extensive bone loss. While shell injuries of IED (improvised explosive devices), on the other hand, were associated with higher infection rate and more postoperative complication.
PURPOSE: Is to compare the patterns, severity, and management of the high- and low-velocity mandibular war injuries managed at Al Shaheed Gazi Al-Hariri Hospital in Baghdad Medical City, Iraq, during a 2-year period. METHODS: Forty-one patients with a history of mandibular war injuries treated by our maxillofacial team were reviewed during a period of 2 years (2015-2017). All patients were treated in the Maxillofacial Unit of the Hospital of Specialized Surgeries in Baghdad Medical City. RESULTS: A 2-year retrospective study evaluated 41 patients with mandibular war injuries with a total of 94 fractures (comminution represents 79.06% of the bullet injuries, while it is only 62.74% with IED injuries). Management of these injuries was varied according to the severity of the injuries and resources available. Close reduction was used in 72.72% of the linear fracture cases, whereas open technique was used in 56.6% of the comminuted fractures. CONCLUSIONS: Bullet injuries were associated with a higher number of mandibular comminuted fractures, in addition to more extensive bone loss. While shell injuries of IED (improvised explosive devices), on the other hand, were associated with higher infection rate and more postoperative complication.
Entities:
Keywords:
Bullets; Mandibular fractures; Shell fragments; War injuries
Authors: N Tanaka; K Tomitsuka; K Shionoya; H Andou; Y Kimijima; T Tashiro; T Amagasa Journal: Br J Oral Maxillofac Surg Date: 1994-02 Impact factor: 1.651
Authors: John S Daniels; Ibrahim Albakry; Ramat O Braimah; Mohammed I Samara; Rabea A Albalasi; Saleh M A Al-Rayshan Journal: Craniomaxillofac Trauma Reconstr Date: 2021-04-30