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Preparation and Application of a New Bacterial Biosensor for the Presumptive Detection of Gunshot Residue
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Penetrated shotgun pellets: a case report.

M Isa Kara1, Hidayet B Polat, Sinan Ay

  • 1Res Assist. Department of Oral and Maxillofacial Surgery, Cumhuriyet University, Faculty of Dentistry, Sivas, Turkey.

European Journal of Dentistry
|February 13, 2009
PubMed
Summary
This summary is machine-generated.

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This case study shows a man with shotgun pellets in his face for 26 years experienced no major complications, only mild cold sensitivity. It suggests long-term retention of facial shotgun pellets may be asymptomatic.

Area of Science:

  • Trauma Surgery
  • Plastic Surgery
  • Forensic Pathology

Background:

  • Shotgun wounds present complex challenges in facial reconstruction and management.
  • The optimal approach for managing retained foreign bodies, like shotgun pellets, remains debated.
  • Long-term consequences of retained facial pellets are not well-documented.

Observation:

  • A 54-year-old male presented with a history of accidental shotgun wounds to the face sustained 26 years prior.
  • The majority of shotgun pellets were retained in situ without surgical removal.
  • The patient reported no symptoms of poisoning, fistula, recurrent infections, or secondary hemorrhage.

Findings:

  • Despite long-term retention of numerous shotgun pellets, the patient remained asymptomatic apart from mild cold intolerance.
Keywords:
PelletShotgunShotgun wound

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  • No evidence of lead poisoning or significant inflammatory complications was observed.
  • The case challenges assumptions about the inevitable complications of retained facial foreign bodies.
  • Implications:

    • Long-term asymptomatic retention of facial shotgun pellets is possible.
    • Conservative management (retention) may be a viable option for certain cases of retained facial pellets.
    • Further research is warranted to establish guidelines for managing retained facial foreign bodies from ballistic trauma.