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Severe Craniofacial Morbidity from a Bean Bag Projectile.

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Summary

Bean bag munitions, used by law enforcement, can cause severe injuries. This case report details a patient with a retained bean bag munition causing facial fractures and nerve damage.

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Area of Science:

  • Trauma Surgery
  • Forensic Pathology
  • Emergency Medicine

Background:

  • Bean bag munitions are less-lethal weapons used by law enforcement.
  • While generally considered less harmful than traditional firearms, they carry risks of severe injury.

Observation:

  • A patient sustained a zygomaticomaxillary complex fracture, facial nerve injury, and a retained bean bag munition in the maxillary sinus.
  • The injury occurred during an altercation with police.

Findings:

  • Surgical extraction of the munition was performed urgently.
  • Fracture repair was successful, but the patient experienced significant facial nerve damage, resulting in lagophthalmos.
  • This is the first reported case of a penetrating bean bag munition injury retained within facial structures.

Implications:

  • Highlights the potential for severe morbidity from less-lethal bean bag munitions.
  • Underscores the importance of understanding the risks associated with these weapons.
  • Provides insights into surgical management and outcomes of such penetrating facial injuries.