Immediate management of severe facial war-injuries

The immediate treatment of severely war-wounded maxillo-facial patients is presented. The cases are of avulsion injuries of the face suffered by Iraqi soldiers where means of reduction, stabilization and immobilization were difficult. Kirschner wire was adapted successfully for immobilization in cases of anterior mandibular segment loss. The application of the Kirschner wire is presented for bridging of bony mandibular defects, preservation of soft tissue position; and making use of small and large pieces of denuded bone.