Recent Advances in the Evaluation and Management of Craniofacial Missile Injuries

Advances in missile war injuries to the craniofacial region have become a hot topic because of the recent Ukrainian-Russian and Gaza wars. It is a miserable situation affecting world peace by initiating hunger, starvation and death, and loss of energy, including electricity. In addition, the population experienced higher prices of oil and gas and a high cost of living, with damage to northern Nord storm of 1 and 2 was supplying gas to Europe. During its 23 years since US invasion with UK of Iraq, the country became unstable still subjected to confluence of conventual war, guerrilla and terrorist attack. As well as increasing crime and assault rates by using drugs. Firearms present a wide range pattern of injuries, especially targeting the craniomaxillofacial region. War continues to be the best school to the surgeons for training and experience. The author has been able to advance the management of missile war injuries in his area and worldwide. In these current studies, the author presents a large series of 246 patients, which includes 200 males and 46 females, who were suffering from missile war injuries to the craniofacial region. The majority of these cases were managed during the years 2004 to 2006 in the medical city of Baghdad. Posttraumatic investigations and research were used including studies of CSF analysis and carotid tree variations. The carotid tree variations were studied by the use of ultrasound and Doppler. These variations were included thickness of intima (IMT) and variation of velocity of flow in carotid tree affected by war injuries. Another research was carried out to differentiate between CSF and exudate; the author did find that the concentration of B2-transferrin enzyme in CSF was much higher than the concentration in serum exudate of the same patient. John Hunter, a great British surgeon, was the first to draw attention to the world to gunshot wounds. His treatises on blood, inflammation, and gunshot wounds were published after his death in 1796. John Hunter did his studies and experience after the discovery of black explosive powder by the Chinese and its usage by the British artillery and gunfire at that time.